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Individual

MR. JOE DEE CUNNINGHAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
H.A.D.

Contact information

Practice address
353 S PALM CANYON DR STE A, PALM SPRINGS, CA 92262-7332
(760) 325-3240
(760) 325-4180
Mailing address
353 S PALM CANYON DR, STE A, PALM SPRINGS, CA 92262-7332
(760) 325-3240
(760) 325-4180

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
HA2856
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
HA0028560
CA
Enumeration date
07/10/2006
Last updated
07/09/2007
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