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1225643448
JED PADRE MD INC
CARSON, CA
NPI
1225643448
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Entity Type
Organization
Authorized Contact
JED PADRE
Owner
310-518-6861
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
Enumeration Date
2020-09-14
Last Update Date
2020-09-14
Business Address
JED PADRE MD INC
282 E SEPULVEDA BLVD
CARSON, CA 90745-6323
Phone number: 310-518-6861
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Mailing Address
JED PADRE MD INC
282 E SEPULVEDA BLVD
CARSON, CA 90745-6323
Phone number: 310-518-6861
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