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1861433393
JAKE WATSON
LOS ANGELES, CA
NPI
1861433393
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Professional Name
JAKE WATSON
Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: CA 14184)
Enumeration Date
2006-06-08
Last Update Date
2007-07-08
Business Address
Mr. JAKE WATSON Physician assistant
11301 WILSHIRE BLVD
LOS ANGELES, CA 90073-1003
Phone number: 310-478-3711
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Mailing Address
Mr. JAKE WATSON Physician assistant
3731 S NORTON AVE
LOS ANGELES, CA 90018-4046
Phone number: 323-296-2388
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