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1558347179
JONATHAN STACKPOLE
MONTEREY, CA
NPI
1558347179
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Other Name
JON JEFFREY STACKPOLE
Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207L00000X Anesthesiology
(Licence: CA A68879)
Enumeration Date
2005-12-15
Last Update Date
2011-12-29
Business Address
-- JONATHAN STACKPOLE MD
23625 HOLMAN HIGHWAY
MONTEREY, CA 93940-5902
Phone number: 831-624-5311
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Mailing Address
-- JONATHAN STACKPOLE MD
PO BOX 7096
STOCKTON, CA 95267-0096
Phone number: 209-956-7725
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