Individual
PAUL L WHITON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
104 BROKEN ARROW RD, LONGVIEW, WA 98632-6104
(360) 431-9011
Mailing address
104 BROKEN ARROW RD, LONGVIEW, WA 98632-6104
(360) 431-9011
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
603-002-702
WA
Other
Enumeration date
04/02/2010
Last updated
04/02/2010
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