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1306914783
JACK WASSERMAN
SAN DIEGO, CA
NPI
1306914783
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: CA G30311)
Enumeration Date
2006-12-01
Last Update Date
2009-12-28
Business Address
Dr. JACK WASSERMAN M.D.
9999 MIRA MESA BLVD STE 104
SAN DIEGO, CA 92131-1006
Phone number: 858-271-6962
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Mailing Address
Dr. JACK WASSERMAN M.D.
9999 MIRA MESA BLVD STE 104
SAN DIEGO, CA 92131-1006
Phone number: 858-271-6962
Copy
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