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1619055118
DWAYNE R DEPRY
FRESNO, CA
NPI
1619055118
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: CA 20A9403)
Enumeration Date
2006-11-01
Last Update Date
2007-07-08
Business Address
-- DWAYNE R DEPRY DO
1221 E SPRUCE AVE
FRESNO, CA 93720
Phone number: 559-261-2799
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Mailing Address
-- DWAYNE R DEPRY DO
1221 E SPRUCE AVE
FRESNO, CA 93720
Phone number: 559-261-2799
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