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1033111380
KEVIN MARK DEITEL
OXNARD, CA
NPI
1033111380
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine
(Licence: CA g85673)
Enumeration Date
2005-06-01
Last Update Date
2022-10-01
Business Address
Dr. KEVIN MARK DEITEL MD
2221 WANKEL WAY
OXNARD, CA 93030-0192
Phone number: 805-988-9366
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Mailing Address
Dr. KEVIN MARK DEITEL MD
5720 RALSTON ST STE 200
VENTURA, CA 93003-7844
Phone number: 805-804-4168
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