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1689161192
JAY THOMAS THETFORD
SYLMAR, CA
NPI
1689161192
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: CA A165159)
Enumeration Date
2018-04-19
Last Update Date
2021-08-16
Business Address
JAY THOMAS THETFORD MD
14445 OLIVE VIEW DR
SYLMAR, CA 91342-1438
Phone number: 760-902-3289
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Mailing Address
JAY THOMAS THETFORD MD
14445 OLIVE VIEW DR
SYLMAR, CA 91342-1437
Phone number:
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