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Organization

CEP AMERICA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. DENNIS TANKERSLEY PA-C (PHYSICIAN ASSISTANT)
(909) 580-4289
Entity
Organization

Contact information

Practice address
400 N PEPPER AVE STE 107, COLTON, CA 92324-1801
(909) 580-4289
Mailing address
18099 JOHN F KENNEDY DR, RIVERSIDE, CA 92508-8954
(909) 747-8353

Taxonomy

Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary

Other

Enumeration date
09/11/2015
Last updated
09/11/2015
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