Individual
MR. DEBO A FAYEMIWO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9500 7TH ST, SUITE F, RANCHO CUCAMONGA, CA 91730-5680
(909) 948-6808
(909) 948-6844
Mailing address
9500 7TH ST, SUITE F, RANCHO CUCAMONGA, CA 91730-5680
(909) 948-6808
(909) 948-6844
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
12/27/2005
Last updated
07/08/2007
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