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1104291426
MARK WAKEFIELD
OCEANSIDE, CA
NPI
1104291426
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: CA 525200)
Enumeration Date
2015-12-11
Last Update Date
2015-12-17
Business Address
MR. MARK WAKEFIELD RN
1738 S TREMONT ST
OCEANSIDE, CA 92054-5309
Phone number: 760-439-2800
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Mailing Address
MR. MARK WAKEFIELD RN
4022 VIA ALDEA
OCEANSIDE, CA 92057-6432
Phone number: 760-453-2526
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