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Individual
JAYART YADAO MANDAC
Active
Individual
JAYART YADAO MANDAC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
95208003
CA
164X00000X
Licensed Vocational Nurse
691188
CA
Other
Enumeration date
02/26/2018
Last updated
11/22/2019
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