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1649659772
JACOB MARQUETTE
SOUTH LAKE TAHOE, CA
NPI
1649659772
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: CO DR.0060772)
Enumeration Date
2015-05-21
Last Update Date
2022-05-02
Business Address
JACOB MARQUETTE DO
2170 SOUTH AVE
SOUTH LAKE TAHOE, CA 96150-7026
Phone number: 530-541-3420
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Mailing Address
JACOB MARQUETTE DO
3291 LOMA VISTA RD
VENTURA, CA 93003-3099
Phone number: 805-652-6100
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