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1114506987
ALFONSO M VAZQUEZ
INDIO, CA
NPI
1114506987
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: CA A197337)
Enumeration Date
2021-04-07
Last Update Date
2024-08-27
Business Address
ALFONSO M VAZQUEZ
81719 DR CARREON BLVD STE B
INDIO, CA 92201-5518
Phone number: 760-837-8722
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Mailing Address
ALFONSO M VAZQUEZ
81719 DR CARREON BLVD STE B
INDIO, CA 92201-5518
Phone number: 760-837-8722
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