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Organization

DEPENDABLE MEDICAL SUPPLY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. OKU EFFIOM (OWNER)
(760) 246-3549
Entity
Organization

Contact information

Practice address
12036 BARTLETT AVE, SUITE B, ADELANTO, CA 92301-1733
(760) 246-3549
(760) 246-3592
Mailing address
PO BOX 1192, ADELANTO, CA 92301-1141
(760) 246-3549
(760) 246-3592

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
43577
CA

Other

Enumeration date
11/02/2006
Last updated
02/27/2008
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