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1821033150
JAY PACKER
FULLERTON, CA
NPI
1821033150
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology
(Licence: CA G42128)
Enumeration Date
2006-06-19
Last Update Date
2009-02-06
Business Address
-- JAY PACKER M.D.
101 E. VALENCIA MESA DRIVE PATHOLOGY DEPT
FULLERTON, CA 92835
Phone number: 714-992-3907
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Mailing Address
-- JAY PACKER M.D.
PO BOX 749421
LOS ANGELES, CA 90074-9421
Phone number: 310-225-3244
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