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Individual

KADESH GAMALL GAYLE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CPO

Contact information

Practice address
20595 SPRING ST, RIVERSIDE, CA 92507-0128
(951) 452-3951
Mailing address
20595 SPRING ST, RIVERSIDE, CA 92507-0128
(951) 452-3951

Taxonomy

Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
CPO04275
CA

Other

Enumeration date
05/14/2019
Last updated
05/14/2019
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