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1134562739
CRAIG JAMES VANTASSEL
OCEANSIDE, CA
NPI
1134562739
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207QS0010X Family Medicine, Sports Medicine
(Licence: NE 1241)
Enumeration Date
2013-04-12
Last Update Date
2024-10-04
Business Address
CRAIG JAMES VANTASSEL D.O.
13 AREA BRANCH HEALTH CLINIC BUILDING 13127
OCEANSIDE, CA 92058-5109
Phone number: 760-763-0306
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Mailing Address
CRAIG JAMES VANTASSEL D.O.
3259 CATLIN AVE
QUANTICO, VA 22134-5109
Phone number: 703-784-5541
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