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1417605288
JEFFREY ROQUE
COVINA, CA
NPI
1417605288
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: CA 95043465)
Enumeration Date
2022-03-11
Last Update Date
2022-03-14
Business Address
JEFFREY ROQUE
1359 N GRAND AVE
COVINA, CA 91724-1016
Phone number: 626-430-2900
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Mailing Address
JEFFREY ROQUE
4095 IRISH MOSS LN
SAN BERNARDINO, CA 92407-0620
Phone number: 562-308-0515
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