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1215053335
RICHARD LESTER STEPHEN JENNELLE
LOS ANGELES, CA
NPI
1215053335
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0001X Radiology, Radiation Oncology
(Licence: CA G87183)
Enumeration Date
2007-03-21
Last Update Date
2023-11-27
Business Address
RICHARD LESTER STEPHEN JENNELLE M.D.
1441 EASTLAKE AVE
LOS ANGELES, CA 90089-0112
Phone number: 323-865-3050
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Mailing Address
RICHARD LESTER STEPHEN JENNELLE M.D.
PO BOX 31309
LOS ANGELES, CA 90031-0309
Phone number: 323-865-3050
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