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Individual
MR. AUSTIN JAMES WARE
Active
Individual
MR. AUSTIN JAMES WARE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA61482673
WA
363AM0700X
Medical Physician Assistant
—
NULL
363AM0700X
Medical Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2263147
—
WA
Enumeration date
05/04/2023
Last updated
05/07/2024
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