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1346482627
ALEXANDER ROBERT JACK
LADERA RANCH, CA
NPI
1346482627
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207N00000X Dermatology
(Licence: CA C179601)
Enumeration Date
2009-04-01
Last Update Date
2022-12-22
Business Address
ALEXANDER ROBERT JACK M.D.
600 CORPORATE DR STE 240
LADERA RANCH, CA 92694-2111
Phone number: 949-364-8411
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Mailing Address
ALEXANDER ROBERT JACK M.D.
PO BOX 5127
EVERETT, WA 98206-5127
Phone number: 425-258-3900
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