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1699438762
JASON LY
LOS ALAMITOS, CA
NPI
1699438762
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA 95018656)
Enumeration Date
2021-10-15
Last Update Date
2022-07-07
Business Address
JASON LY FNP
4281 KATELLA AVE STE 220
LOS ALAMITOS, CA 90720-6506
Phone number: 562-252-1135
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Mailing Address
JASON LY FNP
4281 KATELLA AVE STE 220
LOS ALAMITOS, CA 90720-6506
Phone number: 562-252-1135
Copy
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