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1710340203
JOHN JAMES MICHAEL BLACK
PASADENA, CA
NPI
1710340203
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: CA C196775)
Enumeration Date
2016-04-01
Last Update Date
2024-12-16
Business Address
JOHN JAMES MICHAEL BLACK
100 W CALIFORNIA BLVD
PASADENA, CA 91105-3010
Phone number: 626-397-5166
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Mailing Address
JOHN JAMES MICHAEL BLACK
612 RANCHITO RD
MONROVIA, CA 91016-3733
Phone number: 310-503-8351
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