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1972672400
JESSE VELASCO DE LEON
STOCKTON, CA
NPI
1972672400
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: CA 42297)
Enumeration Date
2006-11-07
Last Update Date
2007-07-08
Business Address
Dr. JESSE VELASCO DE LEON DDS
940 N CENTER ST STE B
STOCKTON, CA 95202-1326
Phone number: 209-461-0140
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Mailing Address
Dr. JESSE VELASCO DE LEON DDS
940 N CENTER ST STE B
STOCKTON, CA 95202-1326
Phone number: 209-461-0140
Copy
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