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Individual

MIKE L DAFFON JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
5000 E CALLE SAN RAPHAEL STE C2, PALM SPRINGS, CA 92264-3407
(760) 409-8826
Mailing address
PO BOX 78, PALM SPRINGS, CA 92263-0078
(760) 409-8826

Taxonomy

Speciality
Code
Description
License number
State
172A00000X
Driver
Primary

Other

Enumeration date
09/27/2019
Last updated
09/27/2019
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