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Individual
JASON TANAKA
Active
Individual
JASON TANAKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
39899
CA
Other
Enumeration date
01/13/2014
Last updated
06/03/2019
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