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Individual
JAKE PERKINS
Active
Individual
JAKE PERKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
57248
CA
Other
Enumeration date
10/30/2019
Last updated
10/30/2019
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