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1184265845
JONATHAN EDENS
SACRAMENTO, CA
NPI
1184265845
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA PA57279)
Enumeration Date
2019-10-03
Last Update Date
2023-12-13
Business Address
JONATHAN EDENS PA
9333 TECH CENTER DR STE 100
SACRAMENTO, CA 95826-2585
Phone number: 916-750-6186
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Mailing Address
JONATHAN EDENS PA
8851 RISLEY PL
GRANITE BAY, CA 95746-9673
Phone number: 707-708-1501
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