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1902868201
JEFFREY CLARK ROTH
LONG BEACH, CA
NPI
1902868201
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: CA 20A5342)
Enumeration Date
2006-04-04
Last Update Date
2012-11-05
Business Address
Dr. JEFFREY CLARK ROTH D.O.
2600 REDONDO AVE
LONG BEACH, CA 90806-2329
Phone number: 562-988-7000
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Mailing Address
Dr. JEFFREY CLARK ROTH D.O.
10470 ROSE ANN CIR
CYPRESS, CA 90630-4359
Phone number: 714-220-9135
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