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1700989118
DAVID LEE DUTRA
JACKSON, CA
NPI
1700989118
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
213E00000X Podiatrist
(Licence: CA E3190)
Enumeration Date
2006-09-07
Last Update Date
2011-11-23
Business Address
-- DAVID LEE DUTRA DPM
613 NEW YORK RANCH RD
JACKSON, CA 95642-9328
Phone number: 209-223-3030
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Mailing Address
-- DAVID LEE DUTRA DPM
PO BOX 938
JACKSON, CA 95642-0938
Phone number: 209-223-3030
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