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1497580187
JARED R MANRIQUE
LOMA LINDA, CA
NPI
1497580187
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2024-09-03
Last Update Date
2024-09-03
Business Address
JARED R MANRIQUE
25455 BARTON RD
LOMA LINDA, CA 92354-3128
Phone number: 909-558-6600
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Mailing Address
JARED R MANRIQUE
1124 FABIAN WAY
HAYWARD, CA 94544-5751
Phone number: 510-329-9775
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