Provider Information for 1831435783
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RAFAEL MONROY Jr.
Sex: Male
NPI: 1831435783
Last Updated: 2012-12-21
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1831435783 | ||||||||
| Enumeration Date | 2012-12-21 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 202 N 8TH ST EL CENTRO, CA 92243-2302 United States Phone: 760-482-4000 | Fax: | ||||||||
| Primary Practice Address | 202 N 8TH ST EL CENTRO, CA 92243-2302 United States Phone: 760-482-4000 | Fax: | ||||||||
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