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Individual

JEFF CAVALLO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
34101 FARENHOLT AVE, NAVAL SCHOOL OF HEALTH SCIENCE (SFIDC), SAN DIEGO, CA 92134
(619) 532-9429
Mailing address
43140 CORTE ALMERIA, TEMECULA, CA 92592-3796
(619) 532-9429

Taxonomy

Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary

Other

Enumeration date
03/16/2006
Last updated
07/08/2007
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