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1992111744
JACOB ALAN DODGE
VENTURA, CA
NPI
1992111744
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: CA A146550)
Enumeration Date
2014-07-01
Last Update Date
2021-12-20
Business Address
JACOB ALAN DODGE MD
888 S HILL RD
VENTURA, CA 93003-8400
Phone number: 888-515-3500
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Mailing Address
JACOB ALAN DODGE MD
888 S HILL RD
VENTURA, CA 93003-8400
Phone number: 888-515-3500
Copy
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