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Duane Lester Eversole
Student in an Organized Health Care Education/Training Program in Escondido, California
NPI 1407476906

Duane Lester Eversole is a Student in an Organized Health Care Education/Training Program based in Escondido, CA. Duane Lester Eversole practices in Escondido, CA. The NPI Number for Duane Lester Eversole is 1407476906 and holds a License No. (California).

The current practice location address for Duane Lester Eversole is 490 N Grape St, Escondido, CA and can be reached out via phone at 760-975-9939.

Location: 490 N Grape St, Escondido, CA, 92025-3079
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1407476906
Provider Name
Duane Lester Eversole
Credential
Provider Entity Type
Individual
Gender
Male
Address
490 N Grape St, Escondido, CA, 92025-3079
Phone Number
760-975-9939
Fax Number
Provider Enumeration Date
04/24/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
490 N Grape St
City
Escondido
State
California
Zip
92025-3079
Phone Number
760-975-9939
Fax Number
person
Provider Business Mailing Address Details
Address
490 N Grape St
City
Escondido
State
California
Zip
92025-3079
Phone Number
760-975-9939
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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