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DR. RONALD JOHN DELAIRE DC

>> Chiropractor >> Chiropractic Providers

Registrant NPI Number: 1104889492

Individual Registrant:
DR. RONALD JOHN DELAIRE DC
Gender: M
Sole Proprietor

Location and contact information for practice:
27620 LANDAU BLVD STE. 1 CATHEDRAL CITY, CA 92234-5540 US
Tel: 760-320-4123  Fax: 760-320-0801

Contact information for business:
27620 LANDAU BLVD STE. 1 CATHEDRAL CITY, CA 92234-5540 US
Tel: 760-320-4123  Fax: 760-320-0801

Registration Information:
NPI: 1104889492
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y111N00000XChiropractic Providers
Chiropractor
CADC21666

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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