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1386372654
DIEGO DE JESUS SALAS
BEAUMONT, CA
NPI
1386372654
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2022-08-12
Last Update Date
2022-08-12
Business Address
DIEGO DE JESUS SALAS
11449 TREVOR WAY
BEAUMONT, CA 92223-1657
Phone number: 951-722-5261
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Mailing Address
DIEGO DE JESUS SALAS
11449 TREVOR WAY
BEAUMONT, CA 92223-1657
Phone number: 951-722-5261
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