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Individual

JAMIE RODGERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
ATC

Contact information

Practice address
26351 JUNIPERO SERRA RD, SAN JUAN CAPISTRANO, CA 92675-1635
(949) 493-9307
Mailing address
26351 JUNIPERO SERRA RD, SAN JUAN CAPISTRANO, CA 92675-1635

Taxonomy

Speciality
Code
Description
License number
State
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
Primary
2000007810
CA

Other

Enumeration date
12/06/2019
Last updated
12/06/2019
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