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1114682291
JACOB DANIEL BLASI
TRAVIS AFB, CA
NPI
1114682291
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA PA60435)
Enumeration Date
2021-11-03
Last Update Date
2024-07-12
Business Address
JACOB DANIEL BLASI PA-C
60 MDG/SGGPC 101 BODIN CIRCLE
TRAVIS AFB, CA 94535-1809
Phone number: 530-846-9080
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Mailing Address
JACOB DANIEL BLASI PA-C
60 MDG/SGGPC 101 BODIN CIRCLE
TRAVIS AFB, CA 94535
Phone number:
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