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1730472036
JEFFREY WON LONG YOUNG
SAN JOSE, CA
NPI
1730472036
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA PA21552)
Enumeration Date
2011-05-18
Last Update Date
2022-02-11
Business Address
-- JEFFREY WON LONG YOUNG PAC
751 S BASCOM AVE
SAN JOSE, CA 95128-2604
Phone number: 408-885-5111
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Mailing Address
-- JEFFREY WON LONG YOUNG PAC
205 ALVARADO ST
BRISBANE, CA 94005-1508
Phone number: 949-923-1252
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