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1083917736
DEANE B. JACQUES, M.D., INC.
LOS ANGELES, CA
NPI
1083917736
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Entity Type
Organization
Authorized Contact
DEANE B JACQUES
President
626-414-4094
Organization Subpart ?
No
Primary Taxonomy
261QA1903X Clinic/Center, Ambulatory Surgical
Enumeration Date
2010-12-17
Last Update Date
2010-12-17
Business Address
DEANE B. JACQUES, M.D., INC.
637 LUCAS AVE STE. 501
LOS ANGELES, CA 90017-1912
Phone number: 626-414-4094
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Mailing Address
DEANE B. JACQUES, M.D., INC.
637 LUCAS AVE STE. 501
LOS ANGELES, CA 90017-1912
Phone number: 626-414-4094
Copy
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