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1750510251
JENNIFER JOSEPHINE D'SA
FONTANA, CA
NPI
1750510251
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: CA A122614)
Enumeration Date
2009-07-07
Last Update Date
2016-09-19
Business Address
Dr. JENNIFER JOSEPHINE D'SA MD
17500 FOOTHILL BLVD #A-2
FONTANA, CA 92335-3798
Phone number: 909-428-0170
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Mailing Address
Dr. JENNIFER JOSEPHINE D'SA MD
200 OCEANGATE SUITE 100
LONG BEACH, CA 90802-4317
Phone number: 909-428-0170
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