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Individual

MR. DAVID MERLE CONSOLLOY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LVN

Contact information

Practice address
2929 CANYON CIR S, PALM SPRINGS, CA 92264-0433
(760) 832-6813
Mailing address
2929 CANYON CIR S, PALM SPRINGS, CA 92264-0433
(760) 832-6813

Taxonomy

Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN 201910
CA

Other

Enumeration date
05/12/2008
Last updated
05/12/2008
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