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1225211329
SCHAKE JACKIE MATJAN
GLENDALE, CA
NPI
1225211329
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: CA PA19454)
Enumeration Date
2007-12-11
Last Update Date
2007-12-11
Business Address
-- SCHAKE JACKIE MATJAN PAC
544 N GLENDALE AVE
GLENDALE, CA 91206-3311
Phone number: 818-241-4331
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Mailing Address
-- SCHAKE JACKIE MATJAN PAC
544 N GLENDALE AVE
GLENDALE, CA 91206-3311
Phone number: 818-241-4331
Copy
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