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1154678357
JASON TRAVIS LEATHERMAN
SAN DIEGO, CA
NPI
1154678357
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: CA 254100)
Enumeration Date
2012-08-07
Last Update Date
2012-08-07
Business Address
-- JASON TRAVIS LEATHERMAN LVN
600 B ST STE 1570
SAN DIEGO, CA 92101-4560
Phone number: 619-615-0439
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Mailing Address
-- JASON TRAVIS LEATHERMAN LVN
600 B ST STE 1570
SAN DIEGO, CA 92101-4560
Phone number: 619-615-0439
Copy
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