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Individual
MR. JASON RUSSEL D'AMICO
Active
Individual
MR. JASON RUSSEL D'AMICO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPT
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
PT27519
CA
171M00000X
Case Manager/Care Coordinator
Primary
—
CA
Other
Enumeration date
09/20/2006
Last updated
02/22/2023
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