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Individual

WILLIAM JASON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
P.A.

Contact information

Practice address
2362 MORSE AVE, IRVINE, CA 92614-6234
(949) 863-9103
(949) 863-1337
Mailing address
4 MICHENER LN, COTO DE CAZA, CA 92679-5154
(949) 589-3346
(949) 589-3346

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
11102
CA

Other

Enumeration date
07/07/2006
Last updated
07/08/2007
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