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Organization
JAY LABOURENE
Active
Organization
JAY LABOURENE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAY LABOURENE MD (OWNER)
(415) 872-0344
Entity
Organization
Contact information
Practice address
1550 G TIBURON BLVD, TIBURON, CA 94920-2531
(415) 872-0344
Mailing address
1550 TIBURON BLVD STE G, TIBURON, CA 94920-2531
(415) 872-0344
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
—
NULL
2086S0129X
Vascular Surgery Physician
Primary
—
—
Other
Enumeration date
12/03/2018
Last updated
12/03/2018
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