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1003236845
JESUS FAJARDO
POMONA, CA
NPI
1003236845
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207X00000X Orthopaedic Surgery
(Licence: CA A138953)
Enumeration Date
2014-04-20
Last Update Date
2020-09-01
Business Address
JESUS FAJARDO
255 E BONITA AVE STE 101
POMONA, CA 91767-1923
Phone number: 909-593-7437
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Mailing Address
JESUS FAJARDO
255 E BONITA AVE STE 101
POMONA, CA 91767-1923
Phone number: 909-593-7437
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