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1144203423
JEAN A WIEDEMAN
SACRAMENTO, CA
NPI
1144203423
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2080P0208X Pediatrics, Pediatric Infectious Diseases
(Licence: CA C043137)
Enumeration Date
2005-11-21
Last Update Date
2011-11-29
Business Address
-- JEAN A WIEDEMAN M.D.
2516 STOCKTON BLVD
SACRAMENTO, CA 95817-2208
Phone number: 916-734-3557
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Mailing Address
-- JEAN A WIEDEMAN M.D.
419 HERON PL
DAVIS, CA 95616-7512
Phone number: 530-759-0726
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