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1598260671
JACOB WAYNE RIES
ORANGE, CA
NPI
1598260671
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: CA PA55464)
Enumeration Date
2018-03-29
Last Update Date
2018-03-29
Business Address
JACOB WAYNE RIES PA-C
1140 W LA VETA AVE STE 860
ORANGE, CA 92868-4218
Phone number: 714-835-6500
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Mailing Address
JACOB WAYNE RIES PA-C
1140 W LA VETA AVE STE 860
ORANGE, CA 92868-4218
Phone number: 714-835-6500
Copy
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