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1174540942
AXA MARTELL
LOMA LINDA, CA
NPI
1174540942
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: CA A55847)
Enumeration Date
2006-07-16
Last Update Date
2007-07-08
Business Address
-- AXA MARTELL M.D.
11370 ANDERSON ST STE 3150
LOMA LINDA, CA 92354-3450
Phone number: 909-558-2191
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Mailing Address
-- AXA MARTELL M.D.
56994 FILE NUMBER
LOS ANGELES, CA 90074-6994
Phone number: 909-558-3111
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