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1588275291
DAREK RAY FONDER
RIVERSIDE, CA
NPI
1588275291
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
126800000X Dental Assistant
(Licence: CA 93206)
Enumeration Date
2020-08-14
Last Update Date
2020-08-14
Business Address
DAREK RAY FONDER
2862 CANYON SPRINGS PKWY
RIVERSIDE, CA 92507-0928
Phone number: 310-344-7632
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Mailing Address
DAREK RAY FONDER
41805 JENNIFER AVE
HEMET, CA 92544-8304
Phone number:
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