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1093402307
JACOB ISAIAH BODDEN
LOS ANGELES, CA
NPI
1093402307
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2023-04-18
Last Update Date
2023-04-18
Business Address
JACOB ISAIAH BODDEN MD
1720 E CESAR E CHAVEZ AVE
LOS ANGELES, CA 90033-2414
Phone number: 800-465-3203
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Mailing Address
JACOB ISAIAH BODDEN MD
1720 E CESAR E CHAVEZ AVE
LOS ANGELES, CA 90033-2414
Phone number:
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