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1720113392
JONATHAN RICE
THOUSAND OAKS, CA
NPI
1720113392
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: CA PA16576)
Enumeration Date
2007-02-22
Last Update Date
2018-04-26
Business Address
JONATHAN RICE PAC
558 SAINT CHARLES DR STE 200
THOUSAND OAKS, CA 91360-3968
Phone number: 805-379-2322
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Mailing Address
JONATHAN RICE PAC
558 SAINT CHARLES DR STE 200
THOUSAND OAKS, CA 91360-3968
Phone number: 805-379-2322
Copy
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