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Individual

MR. DALE A VONRUDEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
921 LONGVIEW AVE, PISMO BEACH, CA 93449-2430
(805) 773-1708
Mailing address
921 LONGVIEW AVE, PISMO BEACH, CA 93449-2430
(805) 773-1708

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
CFE31040
CA

Other

Enumeration date
12/09/2008
Last updated
12/09/2008
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