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Individual
DR. JASON CHANH LY
Active
Individual
DR. JASON CHANH LY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
OP60536808
WA
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
OS018917
PA
Other
Enumeration date
05/23/2011
Last updated
03/29/2022
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