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1710651468
LYANN JASON PASTRANA
FPO, AP
NPI
1710651468
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: WA PA.PA.61470087)
Enumeration Date
2021-08-05
Last Update Date
2024-01-11
Business Address
LYANN JASON PASTRANA
KGAS UNIT 38404
FPO, AP 96380-8404
Phone number: 315-637-2465
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Mailing Address
LYANN JASON PASTRANA
CLR-37, 3D MLG KGAS, UNIT 38404
FPO, AP 96380-8404
Phone number: 415-203-7799
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