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1063677581
JASON FRAZER
MODESTO, CA
NPI
1063677581
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA 19818)
Enumeration Date
2008-07-24
Last Update Date
2021-12-30
Business Address
Mr. JASON FRAZER PAC
1441 FLORIDA AVE
MODESTO, CA 95350-4404
Phone number: 209-578-1211
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Mailing Address
Mr. JASON FRAZER PAC
1441 FLORIDA AVE
MODESTO, CA 95350-4404
Phone number: 209-578-1211
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