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Search › California › 172V00000X

Sir Duplechan

NPI 1891567939 · on the registry since 2023

Practice

Address
21198 Beaujolais Way
Apple Valley, CA 92308
Phone
(661) 728-6292
Organisation at this address
Beloved Housing Llc
Beloved Housing, Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
172V00000X
172V00000X
Licence states on file
NULL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-10-23

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