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1174877161
MAURICE ALBANES-WAGNER
CULVER CITY, CA
NPI
1174877161
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
163WP0808X Registered Nurse, Psych/Mental Health
(Licence: CA 799937)
Enumeration Date
2012-10-30
Last Update Date
2018-02-07
Business Address
MAURICE ALBANES-WAGNER
9808 VENICE BLVD SUITE 700
CULVER CITY, CA 90232-2732
Phone number: 310-945-3350
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Mailing Address
MAURICE ALBANES-WAGNER
1260 MORENA BLVD STE 100
SAN DIEGO, CA 92110-3850
Phone number: 619-398-0355
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