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1720420508
JESIREY IVAN D LOCQUIAO
BAKERSFIELD, CA
NPI
1720420508
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA PA23079)
Enumeration Date
2013-07-22
Last Update Date
2013-07-22
Business Address
Mr. JESIREY IVAN D LOCQUIAO PA-C
3001 SILLECT AVE
BAKERSFIELD, CA 93308-6337
Phone number: 661-316-6000
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Mailing Address
Mr. JESIREY IVAN D LOCQUIAO PA-C
12618 WILLOWDALE DR
BAKERSFIELD, CA 93312-6552
Phone number: 661-487-5643
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