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1659903326
JAKE RYAN
SAN DIEGO, CA
NPI
1659903326
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Former Name
JACOB REINAGEL
Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA 115800)
Enumeration Date
2020-02-10
Last Update Date
2020-02-10
Business Address
JAKE RYAN MS, AMFT
3914 MURPHY CANYON RD STE A201
SAN DIEGO, CA 92123-4423
Phone number: 858-373-7139
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Mailing Address
JAKE RYAN MS, AMFT
PO BOX 911085
SAN DIEGO, CA 92191-1085
Phone number: 858-373-7139
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