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1194254995
JAQUES NGAKAM
LAKEPORT, CA
NPI
1194254995
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA 54323)
Enumeration Date
2017-06-06
Last Update Date
2023-02-06
Business Address
JAQUES NGAKAM PA
801 11TH ST
LAKEPORT, CA 95453-8107
Phone number: 707-263-3746
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Mailing Address
JAQUES NGAKAM PA
19790 OAK FLAT RD APT D
HIDDEN VALLEY LAKE, CA 95467-8588
Phone number:
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