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1235202144
MICHAEL GAVIN DEGUZMAN
MORENO VALLEY, CA
NPI
1235202144
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: CA PA 14892)
Enumeration Date
2006-11-16
Last Update Date
2007-07-08
Business Address
Mr. MICHAEL GAVIN DEGUZMAN PA-C
12712 HEACOCK ST STE 3
MORENO VALLEY, CA 92553-3037
Phone number: 951-601-6802
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Mailing Address
Mr. MICHAEL GAVIN DEGUZMAN PA-C
PO BOX 4434
RANCHO CUCAMONGA, CA 91729-4434
Phone number: 909-466-5266
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