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1043514607
JEEVAK LAL
JACKSON, MI
NPI
1043514607
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207W00000X Ophthalmology
(Licence: MI 4301052150)
Enumeration Date
2010-12-22
Last Update Date
2010-12-22
Business Address
-- JEEVAK LAL M.D.
5887 N RICKFIELD RD
JACKSON, MI 49201-8314
Phone number: 517-788-9932
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Mailing Address
-- JEEVAK LAL M.D.
5887 N RICKFIELD RD
JACKSON, MI 49201-8314
Phone number: 517-788-9932
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