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1174197131
JACK NHAN
VALLEJO, CA
NPI
1174197131
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA 00000000000000)
Enumeration Date
2021-05-14
Last Update Date
2021-05-14
Business Address
JACK NHAN
1310 CLUB DR
VALLEJO, CA 94592-1187
Phone number: 707-638-5809
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Mailing Address
JACK NHAN
1310 CLUB DR
VALLEJO, CA 94592-1187
Phone number: 707-638-5809
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