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1134460058
JESSICA ROSE SMITH
SANTA CRUZ, CA
NPI
1134460058
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: CA 20A12593)
Enumeration Date
2013-03-04
Last Update Date
2014-12-01
Business Address
Dr. JESSICA ROSE SMITH D.O.
1301 MISSION ST
SANTA CRUZ, CA 95060-3530
Phone number: 831-458-6300
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Mailing Address
Dr. JESSICA ROSE SMITH D.O.
2025 SOQUEL AVE
SANTA CRUZ, CA 95062-1323
Phone number: 831-479-6603
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