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1912160185
TATE DE LEON
RANCHO MIRAGE, CA
NPI
1912160185
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: CA A115841)
Enumeration Date
2008-07-08
Last Update Date
2022-02-24
Business Address
TATE DE LEON MD
72780 COUNTRY CLUB DR STE 305
RANCHO MIRAGE, CA 92270-4149
Phone number: 760-837-8748
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Mailing Address
TATE DE LEON MD
72780 COUNTRY CLUB DR STE 305
RANCHO MIRAGE, CA 92270-4149
Phone number: 760-837-8748
Copy
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