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1801350442
JASON SCOTT REYNOLDS
SAN DIEGO, CA
NPI
1801350442
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date
2019-01-28
Last Update Date
2019-01-28
Business Address
JASON SCOTT REYNOLDS IDC
34800 BOB WILSON DR
SAN DIEGO, CA 92134-1098
Phone number: 619-532-6400
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Mailing Address
JASON SCOTT REYNOLDS IDC
3455 ADAMS AVE UNIT 4
SAN DIEGO, CA 92116-2433
Phone number: 720-350-6011
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