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Individual
MR. JASON TANCO
Active
Individual
MR. JASON TANCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR/L
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
13020
CA
Other
Enumeration date
05/14/2015
Last updated
02/11/2022
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