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Individual
JOSE LUIS RUIZ
Active
Individual
JOSE LUIS RUIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA14782
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA14782
PA LICENSE
CA
Enumeration date
08/29/2005
Last updated
06/12/2018
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