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1912229550
JASON ANTHONY CHARLEBOIS
LA JOLLA, CA
NPI
1912229550
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2010-02-24
Last Update Date
2010-02-24
Business Address
-- JASON ANTHONY CHARLEBOIS ATC
7607 LA JOLLA BLVD
LA JOLLA, CA 92037-4799
Phone number: 858-459-4021
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Mailing Address
-- JASON ANTHONY CHARLEBOIS ATC
7607 LA JOLLA BLVD
LA JOLLA, CA 92037-4799
Phone number:
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