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Individual
MR. JASON S MAZZA
Active
Individual
MR. JASON S MAZZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OA-C, CSA, SA-C, OTC
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
—
NULL
363AS0400X
Surgical Physician Assistant
Primary
—
NULL
Other
Enumeration date
12/21/2005
Last updated
09/04/2015
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