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1033128053
JEROME ANTHONY WISNIEW
SAN DIEGO, CA
NPI
1033128053
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
213ES0103X Podiatrist Foot & Ankle Surgery
(Licence: CA E1630)
Enumeration Date
2006-08-07
Last Update Date
2024-05-15
Business Address
DR. JEROME ANTHONY WISNIEW DPM
2306 6TH AVE
SAN DIEGO, CA 92101-1643
Phone number: 619-232-0179
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Mailing Address
DR. JEROME ANTHONY WISNIEW DPM
2705 28TH ST
SAN DIEGO, CA 92104-4902
Phone number: 619-232-0179
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