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1104946169
WAYNE BAUER
SANTA MONICA, CA
NPI
1104946169
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2007-03-30
Last Update Date
2007-07-08
Business Address
-- WAYNE BAUER
2701 OCEAN PARK BLVD STE 150
SANTA MONICA, CA 90405-5219
Phone number: 310-392-5855
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Mailing Address
-- WAYNE BAUER
722 HILL ST APT B
SANTA MONICA, CA 90405-4465
Phone number: 310-450-5142
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