JASON TA

CLOVIS, CA
NPI1710343256
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy282N00000X General Acute Care Hospital
(Licence: CA  11188)
Enumeration Date2016-01-13
Last Update Date2016-01-13
Business Address
-- JASON TA
2447 CARSON AVE
CLOVIS, CA 93611-6548
Phone number: 408-821-6101
Mailing Address
-- JASON TA
2447 CARSON AVE
CLOVIS, CA 93611-6548
Phone number: 408-821-6101
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