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Individual
JEFFREY DEAN RIDGE
Active
Individual
JEFFREY DEAN RIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95011517
CA
363LF0000X
Family Nurse Practitioner
AP139196
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1083180533
—
CA
Enumeration date
10/22/2018
Last updated
08/14/2024
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