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1205128881
MICHELLE VIJVERBERG WOOTEN
LOS ANGELES, CA
NPI
1205128881
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: CA A114114)
Enumeration Date
2011-05-13
Last Update Date
2021-11-06
Business Address
MICHELLE VIJVERBERG WOOTEN MD
1200 N STATE ST RM 1011
LOS ANGELES, CA 90033-1029
Phone number: 626-716-6499
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Mailing Address
MICHELLE VIJVERBERG WOOTEN MD
1200 N STATE ST RM 1011
LOS ANGELES, CA 90033-1029
Phone number: 626-716-6499
Copy
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