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Individual

RONALD BEARDSHEAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
222 E MAIN ST STE 117, BARSTOW, CA 92311-2365
(760) 255-1496
(760) 255-2542
Mailing address
222 E MAIN ST STE 117, BARSTOW, CA 92311-2365
(760) 255-1496
(760) 255-2542

Taxonomy

Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
CA

Other

Enumeration date
09/19/2016
Last updated
05/16/2022
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