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1588367411
IVAN ALBERTO JAIMEZ
LOS ANGELES, CA
NPI
1588367411
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2023-03-22
Last Update Date
2023-03-22
Business Address
DR. IVAN ALBERTO JAIMEZ MD
1200 N STATE ST
LOS ANGELES, CA 90089-1001
Phone number: 323-409-1000
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Mailing Address
DR. IVAN ALBERTO JAIMEZ MD
1200 N STATE ST
LOS ANGELES, CA 90089-1001
Phone number: 323-409-1000
Copy
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