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Individual

JASON T LANG

Active
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Individual

JASON T LANG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RN

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
9034821-3102
AZ
367500000X
Certified Registered Nurse Anesthetist
Primary
9034821-4406
UT

Other

Enumeration date
07/28/2019
Last updated
02/06/2023
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