JARED WALLACE
Physician Assistant in Kasilof, AK

License number
Alaska PADA895
Issued Date
Jan 29, 2010
Effective Date
Dec 31, 2014
Expiration Date
Dec 31, 2016
Category
Physician Assistants
Address
Address
PO Box 922, Kasilof, AK 99610
LicenseFiles verified this license of Nov 18, 2016 at the Alaska - Department of Commerce, Community, and Economic Development.

Personal information

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Name
Address
Phone
Jared Wallace, age 38
2523 Brook Hill Cir, Anchorage, AK 99516
(503) 667-6689
Jared Wallace
PO Box 750, Seward, AK 99664

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