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1013220458
DEVAL DAVE
SAN BERNARDINO, CA
NPI
1013220458
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA 21030)
Enumeration Date
2010-07-14
Last Update Date
2021-10-11
Business Address
DEVAL DAVE PA
2101 N WATERMAN AVE
SAN BERNARDINO, CA 92404-4836
Phone number: 909-883-8711
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Mailing Address
DEVAL DAVE PA
2101 N WATERMAN AVE
SAN BERNARDINO, CA 92404-4836
Phone number:
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