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Individual

JAMES MARTIN JACQUET

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
15706 POMERADO RD, POWAY, CA 92064-2067
(858) 521-0061
Mailing address
PO BOX 28199, SAN DIEGO, CA 92198-0199
(858) 613-8900

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
C33032
CA

Other

Enumeration date
02/27/2006
Last updated
08/10/2007
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