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1891991014
JACQUELINE KIRSTIE BERRY
WEST HOLLYWOOD, CA
NPI
1891991014
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: CA A060134)
Enumeration Date
2007-06-25
Last Update Date
2007-07-08
Business Address
Dr. JACQUELINE KIRSTIE BERRY MD
621 N SAN VICENTE BLVD
WEST HOLLYWOOD, CA 90069-5018
Phone number: 323-358-2423
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Mailing Address
Dr. JACQUELINE KIRSTIE BERRY MD
PO BOX 19067
LONG BEACH, CA 90807-9067
Phone number: 562-981-0425
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