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Organization

JEFFREY T TAHAURI

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JEFFREY TAHAURI (PTA)
(760) 885-3063
Entity
Organization

Contact information

Practice address
10661 ORCHID AVE., HESPERIA, CA 92345
(760) 885-3063
Mailing address
10661 ORCHID AVE., HESPERIA, CA 92345

Taxonomy

Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
AT4227
CA

Other

Enumeration date
12/03/2012
Last updated
12/03/2012
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