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1285640680
JOEL SAMUEL ISACKSON
SANTA MONICA, CA
NPI
1285640680
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: CA A65572)
Enumeration Date
2006-07-31
Last Update Date
2010-01-26
Business Address
-- JOEL SAMUEL ISACKSON MD
2121 WILSHIRE BLVD # 307
SANTA MONICA, CA 90403
Phone number: 310-264-0565
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Mailing Address
-- JOEL SAMUEL ISACKSON MD
2121 WILSHIRE BLVD # 304
SANTA MONICA, CA 90403
Phone number: 310-264-0065
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