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1366516197
JEFFREY M JOHNSRUD
ORANGE, CA
NPI
1366516197
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
(Licence: CA G51096)
Enumeration Date
2006-11-20
Last Update Date
2011-10-27
Business Address
-- JEFFREY M JOHNSRUD M.D.
1140 W LA VETA AVE #760
ORANGE, CA 92868-4223
Phone number: 714-541-4442
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Mailing Address
-- JEFFREY M JOHNSRUD M.D.
1140 W LA VETA AVE #760
ORANGE, CA 92868-4223
Phone number: 714-541-4442
Copy
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