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Individual

JACK HOSTETLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1200 W FAIRVIEW ST, COLFAX, WA 99111-9552
(509) 397-3435
Mailing address
PO BOX 172, OAKESDALE, WA 99158-0172

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary

Other

Enumeration date
08/26/2025
Last updated
08/26/2025
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