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Individual

JAMES JETT RAGASA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
94-450 MOKUOLA ST STE 100, WAIPAHU, HI 96797-3388
(808) 944-2882
Mailing address
4523 LIKINI ST, HONOLULU, HI 96818-2238
(808) 227-4261

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
19363
HI

Other

Enumeration date
05/13/2021
Last updated
05/13/2021
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