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Individual
DR. JACK ZEPEDA
Active
Individual
DR. JACK ZEPEDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, MPH
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
2018036941
MO
207Q00000X
Family Medicine Physician
Primary
E-13916
AR
Other
Enumeration date
11/03/2018
Last updated
05/17/2022
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