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Individual
JASON ANDRADE
Active
Individual
JASON ANDRADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
20A17796
CA
208100000X
Physical Medicine & Rehabilitation Physician
DR.0068543
CO
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
DR.0068543
CO
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
DR.0068543
CO
Other
Enumeration date
04/15/2018
Last updated
11/04/2024
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