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1720746662
JACK CRUIKSHANK
YUCCA VALLEY, CA
NPI
1720746662
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: CA C174737)
Enumeration Date
2021-12-07
Last Update Date
2021-12-07
Business Address
Dr. JACK CRUIKSHANK MD
MORONGO BASIN COMMUNITY HEALTH CENTER 58375 29 PALMS HWY
YUCCA VALLEY, CA 92284
Phone number: 760-820-9229
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Mailing Address
Dr. JACK CRUIKSHANK MD
1111 E PALM CANYON DR UNIT 120
PALM SPRINGS, CA 92264-9199
Phone number: 403-835-9023
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