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1336655695
JASON MICHAEL KING
SANTA ROSA, CA
NPI
1336655695
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: CA 692594)
Enumeration Date
2017-12-22
Last Update Date
2017-12-22
Business Address
JASON MICHAEL KING LVN
2225 CHALLENGER WAY
SANTA ROSA, CA 95407-5441
Phone number: 707-565-4101
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Mailing Address
JASON MICHAEL KING LVN
2225 CHALLENGER WAY
SANTA ROSA, CA 95407-5441
Phone number: 707-565-4101
Copy
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