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Individual

ANTHONY MICHAEL MCADAMS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
13333 PALMDALE RD., VICTORVILLE, CA 92393
(760) 241-4917
(760) 241-8911
Mailing address
P.O. BOX 2457, 13333 PALMDALE RD., VICTORVILLE, CA 92393
(760) 241-4917
(760) 241-8911

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
5609
SIMON STAFF NUMBER
CA
Enumeration date
06/08/2007
Last updated
10/29/2008
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