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1124295316
JUAN JOSE JUVENAL VERGARA SAAVEDRA
TRACY, CA
NPI
1124295316
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: CA A113931)
Enumeration Date
2008-05-15
Last Update Date
2016-11-18
Business Address
-- JUAN JOSE JUVENAL VERGARA SAAVEDRA M.D.
2151 W GRANT LINE RD
TRACY, CA 95377-7309
Phone number: 209-832-0535
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Mailing Address
-- JUAN JOSE JUVENAL VERGARA SAAVEDRA M.D.
600 COFFEE RD
MODESTO, CA 95355-4201
Phone number: 209-521-6097
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