Individual
JACQUELINE GEPULLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13777 AIR EXPRESSWAY BLVD, VICTORVILLE, CA 92394-0510
(760) 530-5700
(760) 530-5762
Mailing address
13777 AIR EXPRESSWAY BLVD, VICTORVILLE, CA 92394-0510
(760) 530-5700
(760) 530-5762
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
05/28/2013
Last updated
01/30/2014
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