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1659518884
JON A DETTERICH
LOS ANGELES, CA
NPI
1659518884
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207PP0204X Emergency Medicine, Pediatric Emergency Medicine
(Licence: CA A89834)
Enumeration Date
2009-01-09
Last Update Date
2009-01-09
Business Address
-- JON A DETTERICH MD
4650 W SUNSET BLVD MS #113
LOS ANGELES, CA 90027-6062
Phone number: 323-361-2109
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Mailing Address
-- JON A DETTERICH MD
6430 W SUNSET BLVD SUITE 600
LOS ANGELES, CA 90028-7901
Phone number: 232-361-2337
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