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Individual

JESSE RASMUSSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CPO

Contact information

Practice address
1530 S SINCLAIR ST, ANAHEIM, CA 92806-5933
(949) 474-2050
Mailing address
15602 MOSHER AVE, TUSTIN, CA 92780-6427
(949) 474-2050
(949) 474-4460

Taxonomy

Speciality
Code
Description
License number
State
222Z00000X
Orthotist
224P00000X
Prosthetist
Primary

Other

Enumeration date
07/14/2023
Last updated
07/14/2023
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