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1639619414
LYSANDER JIM, M.D. INC
PASADENA, CA
NPI
1639619414
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Entity Type
Organization
Authorized Contact
LYSANDER JIM
President
626-800-3860
Organization Subpart ?
No
Primary Taxonomy
261Q00000X Clinic/Center
(Licence: CA 3985886)
Enumeration Date
2017-02-27
Last Update Date
2017-02-27
Business Address
LYSANDER JIM, M.D. INC
452 N ALTADENA DR
PASADENA, CA 91107-2536
Phone number: 626-800-3860
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Mailing Address
LYSANDER JIM, M.D. INC
601 CAMINO VERDE
S PASADENA, CA 91030-4139
Phone number: 626-800-3860
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