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1972852879
JACK REYNOLDS
VENTURA, CA
NPI
1972852879
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: CA vn 265668)
Enumeration Date
2012-09-06
Last Update Date
2012-09-06
Business Address
Mr. JACK REYNOLDS LVN
194 VIA BAJA
VENTURA, CA 93003-1240
Phone number: 805-760-7179
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Mailing Address
Mr. JACK REYNOLDS LVN
194 VIA BAJA
VENTURA, CA 93003-1240
Phone number: 805-760-7179
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