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1699987446
JASON HAROLD HENRY
SAN DIEGO, CA
NPI
1699987446
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date
2007-05-04
Last Update Date
2007-07-08
Business Address
Mr. JASON HAROLD HENRY IDC
34101 FARENHOLT AVE
SAN DIEGO, CA 92134-7000
Phone number: 619-587-2475
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Mailing Address
Mr. JASON HAROLD HENRY IDC
34101 FARENHOLT AVE
SAN DIEGO, CA 92134-7000
Phone number: 619-587-2475
Copy
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