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1952856403
JASON KUBANIS
SAN DIMAS, CA
NPI
1952856403
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
172V00000X Community Health Worker
Enumeration Date
2016-08-24
Last Update Date
2023-12-11
Business Address
JASON KUBANIS
762 CYPRESS ST
SAN DIMAS, CA 91773-3505
Phone number: 909-599-1227
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Mailing Address
JASON KUBANIS
762 CYPRESS ST
SAN DIMAS, CA 91773-3505
Phone number: 909-599-1227
Copy
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