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Jeshurun Gasper
Student in an Organized Health Care Education/Training Program in Kelso, Washington
NPI 1215511654

Jeshurun Gasper is a Student in an Organized Health Care Education/Training Program based in Longview, WA. Jeshurun Gasper practices in Kelso, WA. The NPI Number for Jeshurun Gasper is 1215511654 and holds a License No. (Washington).

The current practice location address for Jeshurun Gasper is 305 S. Pacific Avenue, Kelso, WA and can be reached out via phone at 360-423-0203 and via fax at 360-423-5086.

Location: 305 S. Pacific Avenue, Kelso, WA, 98632-8140
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1215511654
Provider Name
Jeshurun Gasper
Credential
Provider Entity Type
Individual
Gender
Female
Address
305 S. Pacific Avenue, Kelso, WA, 98632-8140
Phone Number
360-423-0203
Fax Number
360-423-5086
Provider Enumeration Date
05/11/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
305 S. Pacific Avenue
City
Kelso
State
Washington
Zip
98626
Phone Number
360-423-0203
Fax Number
360-423-5086
person
Provider Business Mailing Address Details
Address
305 S. Pacific Avenue
City
Kelso
State
Washington
Zip
98626
Phone Number
360-423-0203
Fax Number
360-423-5086
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
(Washington)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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