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Individual
MR. JASON W CASWELL
Active
Individual
MR. JASON W CASWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA00199
MS
363AS0400X
Surgical Physician Assistant
PA00199
MS
Other
Enumeration date
01/22/2014
Last updated
01/16/2020
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