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1073579231
JENNIE JET
SANTA CRUZ, CA
NPI
1073579231
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208100000X Physical Medicine & Rehabilitation
(Licence: CA G86051)
Enumeration Date
2006-04-25
Last Update Date
2014-08-04
Business Address
-- JENNIE JET M.D.
1595 SOQUEL DR STE 110
SANTA CRUZ, CA 95065-1719
Phone number: 831-462-9955
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Mailing Address
-- JENNIE JET M.D.
3400 DATA DR
RANCHO CORDOVA, CA 95670-7956
Phone number: 916-379-2915
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