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Individual

MR. JON B CHRISTENSEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PA

Contact information

Practice address
OKUBO CLINIC, 11582-17TH C ST., NORTH FORT LEWIS, WA 98433
(253) 966-7535
Mailing address
2703 MACARTHUR ST, DUPONT, WA 98327-8719
(253) 964-1902

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1052332

Other

Enumeration date
12/05/2006
Last updated
07/08/2007
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