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1104873611
THEODORE WILSON HOLE
VENTURA, CA
NPI
1104873611
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Primary Taxonomy
207Q00000X Family Medicine
(Licence: CA G36661)
Enumeration Date
2006-05-28
Last Update Date
2007-07-08
Business Address
THEODORE WILSON HOLE M.D.
2937 LOMA VISTA RD
VENTURA, CA 93003-2915
Phone number: 805-643-9975
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Mailing Address
THEODORE WILSON HOLE M.D.
2937 LOMA VISTA RD
VENTURA, CA 93003-2915
Phone number: 805-643-9975
Copy
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