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Individual

JASON JOHN MARTIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
R.N.

Contact information

Practice address
480 CENTRAL AVE, PEARL HARBOR, HI 96860-4908
(808) 474-4242
Mailing address
480 CENTRAL AVENUE, PEARL HARBOR, HI 96860-4908
(808) 474-4242

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN82530
HI

Other

Enumeration date
05/06/2016
Last updated
05/06/2016
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