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1205073962
COREY JAQUEZ
TRUMBULL, CT
NPI
1205073962
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: CT 048223)
Enumeration Date
2009-01-15
Last Update Date
2017-10-10
Business Address
Dr. COREY JAQUEZ M.D.
17 CHURCH HILL RD
TRUMBULL, CT 06611-3116
Phone number: 203-696-3550
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Mailing Address
Dr. COREY JAQUEZ M.D.
17 CHURCH HILL RD APT 5E
TRUMBULL, CT 06611-3116
Phone number: 203-696-3550
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