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Individual

JACK ARTURO MARQUEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
ATC

Contact information

Practice address
17500 PERRIS BLVD, MORENO VALLEY, CA 92551-9547
(951) 601-3028
Mailing address
128 KNOLL RD, VISTA, CA 92083-5857
(760) 842-8202

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
CA

Other

Enumeration date
06/17/2007
Last updated
07/08/2007
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