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1043948862
JAKE YAMASAKI
LAVEEN, AZ
NPI
1043948862
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
163WS0200X Registered Nurse, School
(Licence: AZ 270211)
Enumeration Date
2022-08-10
Last Update Date
2022-08-10
Business Address
JAKE YAMASAKI
3921 W BASELINE RD
LAVEEN, AZ 85339-1801
Phone number: 602-764-4037
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Mailing Address
JAKE YAMASAKI
12521 W LINCOLN ST
AVONDALE, AZ 85323-8454
Phone number: 805-448-3072
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