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Ian Seabolt

NPI 1104274422 · on the registry since 2016

Practice

Address
7939 Oxford Ave
Hesperia, CA 92345
Phone
(760) 648-3308

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2016-05-26

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California