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1043082233
MARK JASON JOEL SAN JOSE
ORANGE, CA
NPI
1043082233
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: CA 95027777)
Enumeration Date
2023-10-23
Last Update Date
2024-09-27
Business Address
MARK JASON JOEL SAN JOSE
101 THE CITY DR S
ORANGE, CA 92868-3201
Phone number: 800-465-3203
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Mailing Address
MARK JASON JOEL SAN JOSE
UC IRVINE MEDICAL CENTER 101 THE CITY DRIVE SOUTH
ORANGE, CA 92868-3201
Phone number: 800-465-3203
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