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1003630476
JAKE BARANCHO
KAPOLEI, HI
NPI
1003630476
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: HI 6039)
Enumeration Date
2024-11-13
Last Update Date
2024-11-13
Business Address
JAKE BARANCHO
599 FARRINGTON HWY STE 2
KAPOLEI, HI 96707-2028
Phone number: 808-680-9123
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Mailing Address
JAKE BARANCHO
3055 LAKIMAU ST
HONOLULU, HI 96815-4210
Phone number:
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