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1043339328
DAVID L DUTRA DPM INC
JACKSON, CA
NPI
1043339328
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Entity Type
Organization
Authorized Contact
DAVID L DUTRA
Owner President
209-223-3030
Organization Subpart ?
No
Primary Taxonomy
213E00000X Podiatrist
(Licence: CA E3190)
Enumeration Date
2007-03-28
Last Update Date
2011-04-27
Business Address
DAVID L DUTRA DPM INC
613 NEW YORK RANCH RD
JACKSON, CA 95642-9328
Phone number: 209-223-3030
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Mailing Address
DAVID L DUTRA DPM INC
PO BOX 938
JACKSON, CA 95642-0938
Phone number: 209-223-3030
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