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1306159249
FAHEEM M JUKAKU MD INC
MORENO VALLEY, CA
NPI
1306159249
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Entity Type
Organization
Authorized Contact
FAHEEM M JUKAKU
President
951-232-4856
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: CA a72490)
Enumeration Date
2010-07-21
Last Update Date
2010-07-21
Business Address
FAHEEM M JUKAKU MD INC
26520 CACTUS AVE ROOM NO. B2049
MORENO VALLEY, CA 92555-3927
Phone number: 951-232-4856
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Mailing Address
FAHEEM M JUKAKU MD INC
12318 WINDCHIME PL APT C
MIRA LOMA, CA 91752-3160
Phone number: 951-232-4856
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