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Individual
JON DANIEL MALAN
Active
Individual
JON DANIEL MALAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
20A8092
CA
207Q00000X
Family Medicine Physician
Primary
O-1510
ID
Other
Enumeration date
06/24/2005
Last updated
01/06/2024
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