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1700264322
JASON TANCO
SACRAMENTO, CA
NPI
1700264322
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
314000000X Skilled Nursing Facility
(Licence: CA 13020)
Enumeration Date
2015-05-14
Last Update Date
2022-02-11
Business Address
Mr. JASON TANCO OTR/L
4700 ELVAS AVE
SACRAMENTO, CA 95819-2250
Phone number: 916-755-0570
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Mailing Address
Mr. JASON TANCO OTR/L
4700 ELVAS AVE
SACRAMENTO, CA 95819-2250
Phone number: 916-455-0570
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