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1013172733
JERRY VANN MARTIN
FREMONT, CA
NPI
1013172733
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207PE0004X Emergency Medicine, Emergency Medical Services
(Licence: CA A23873)
Enumeration Date
2008-07-22
Last Update Date
2009-02-03
Business Address
-- JERRY VANN MARTIN M.D.
2500 MOWRY AVE SUITE 212
FREMONT, CA 94538-1605
Phone number: 510-608-6174
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Mailing Address
-- JERRY VANN MARTIN M.D.
7079 HOMEWOOD DR
OAKLAND, CA 94611-1451
Phone number:
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