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1184930174
JONATHAN LAWRENCE MACHADO
TULARE, CA
NPI
1184930174
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA pa21119)
Enumeration Date
2010-08-27
Last Update Date
2010-08-27
Business Address
-- JONATHAN LAWRENCE MACHADO
651 N ENTERPRISE ST
TULARE, CA 93274-9760
Phone number: 949-735-0774
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Mailing Address
-- JONATHAN LAWRENCE MACHADO
651 N ENTERPRISE ST
TULARE, CA 93274-9760
Phone number: 949-735-0774
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