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1184681298
JACK LEROY STCLAIR
SONORA, CA
NPI
1184681298
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207QA0505X Family Medicine, Adult Medicine
(Licence: CA a76427)
Enumeration Date
2006-05-01
Last Update Date
2007-07-08
Business Address
-- JACK LEROY STCLAIR M.D.
14540 MONO WAY
SONORA, CA 95370-8858
Phone number: 209-743-7084
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Mailing Address
-- JACK LEROY STCLAIR M.D.
PO BOX 4264
SONORA, CA 95370-4264
Phone number:
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