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1194462226
ASTRA MELITANTE JACOT
LONG BEACH, CA
NPI
1194462226
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA 60187)
Enumeration Date
2022-05-19
Last Update Date
2022-05-19
Business Address
Mr. ASTRA MELITANTE JACOT PA-C
2525 GRAND AVE STE 183
LONG BEACH, CA 90815-1765
Phone number: 562-570-4053
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Mailing Address
Mr. ASTRA MELITANTE JACOT PA-C
2525 GRAND AVE STE 183
LONG BEACH, CA 90815-1765
Phone number: 562-570-4053
Copy
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