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1154743987
KEITH JAY WAHL
LA JOLLA, CA
NPI
1154743987
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207YS0123X Otolaryngology, Facial Plastic Surgery
(Licence: CA A24790)
Enumeration Date
2014-01-14
Last Update Date
2019-04-30
Business Address
Dr. KEITH JAY WAHL MD
8735 NOTTINGHAM PL
LA JOLLA, CA 92037-2129
Phone number: 858-518-2190
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Mailing Address
Dr. KEITH JAY WAHL MD
8735 NOTTINGHAM PL
LA JOLLA, CA 92037-2129
Phone number: 858-518-2190
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