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1437876760
JASON NILES KUKAS
UPLAND, CA
NPI
1437876760
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: CA 95023040)
Enumeration Date
2022-10-26
Last Update Date
2022-10-26
Business Address
Mr. JASON NILES KUKAS PMHNP-BC
954 W FOOTHILL BLVD STE A
UPLAND, CA 91786-3782
Phone number: 909-846-4222
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Mailing Address
Mr. JASON NILES KUKAS PMHNP-BC
41500 WASHINGTON ST APT E224
BERMUDA DUNES, CA 92203-9516
Phone number: 760-989-7608
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