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1194251595
JESMOND RIDGE MEDICAL SERVICES A MEDICAL CORPORATION
STOCKTON, CA
NPI
1194251595
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Entity Type
Organization
Authorized Contact
KATHLEEN KONDAS
VP Provider Enrollment
973-251-1132
Organization Subpart ?
No
Primary Taxonomy
207P00000X Emergency Medicine
Enumeration Date
2017-05-04
Last Update Date
2019-10-23
Business Address
JESMOND RIDGE MEDICAL SERVICES A MEDICAL CORPORATION
525 W ACACLA ST
STOCKTON, CA 95203
Phone number: 469-401-2386
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Mailing Address
JESMOND RIDGE MEDICAL SERVICES A MEDICAL CORPORATION
13737 NOEL RD 1600
DALLAS, TX 75240-1331
Phone number: 954-838-2371
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