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Organization
IMPACT CARE ACCESS NETWORK II
Active
Organization
IMPACT CARE ACCESS NETWORK II
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMANUEL JEANPIERRE PA-C (CO-CEO)
(760) 998-3550
Entity
Organization
Contact information
Practice address
9390 HESPERIA RD STE 7, HESPERIA, CA 92345-3602
(760) 998-3550
(760) 998-3552
Mailing address
9390 HESPERIA RD STE 7, HESPERIA, CA 92345-3602
(760) 998-3550
(760) 998-3552
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
05/15/2018
Last updated
05/15/2018
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