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1215490412
JASON V CARRANZA
TRIPLER AMC, HI
NPI
1215490412
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
224L00000X Pedorthist
(Licence: HI C51722)
Enumeration Date
2019-04-13
Last Update Date
2021-10-06
Business Address
Mr. JASON V CARRANZA BOCPD
1 JARRETT WHITE RD RM 3G812
TRIPLER AMC, HI 96859-5001
Phone number: 808-433-6967
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Mailing Address
Mr. JASON V CARRANZA BOCPD
91-1042 KALOI PL
EWA BEACH, HI 96706-3776
Phone number: 808-397-7515
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