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1205000957
MARK J WARMUTH
VENTURA, CA
NPI
1205000957
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
222Z00000X Orthotist
(Licence: CA CO1535)
Enumeration Date
2008-04-14
Last Update Date
2008-04-16
Business Address
Mr. MARK J WARMUTH C.O.
4517 MARKET ST STE 4
VENTURA, CA 93003-7710
Phone number: 805-658-1822
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Mailing Address
Mr. MARK J WARMUTH C.O.
4517 MARKET ST STE 4
VENTURA, CA 93003-7710
Phone number: 805-658-1822
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