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Individual
JASON A RUIZ
Active
Individual
JASON A RUIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
S12281707
MA
103T00000X
Psychologist
S12281707
MA
104100000X
Social Worker
S12281707
MA
Other
Enumeration date
04/05/2012
Last updated
04/05/2012
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