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1932874120
JASON LEE CANTOR
WAILUKU, HI
NPI
1932874120
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: HI AMD-1067-0)
Enumeration Date
2021-08-10
Last Update Date
2022-01-19
Business Address
JASON LEE CANTOR Physician Assistant
1830 WELLS ST STE 101
WAILUKU, HI 96793-2365
Phone number: 808-856-4060
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Mailing Address
JASON LEE CANTOR Physician Assistant
1830 WELLS ST STE 101
WAILUKU, HI 96793-2365
Phone number: 808-856-4060
Copy
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