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1275763922
TIMOTHY JUSTIN GILLENWATER
LOS ANGELES, CA
NPI
1275763922
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208200000X Plastic Surgery
(Licence: CA A108333)
Enumeration Date
2009-07-15
Last Update Date
2023-11-27
Business Address
DR. TIMOTHY JUSTIN GILLENWATER M.D.
1450 SAN PABLO ST STE 6200
LOS ANGELES, CA 90033-5331
Phone number: 323-442-7920
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Mailing Address
DR. TIMOTHY JUSTIN GILLENWATER M.D.
PO BOX 31309
LOS ANGELES, CA 90031-0309
Phone number: 323-442-7920
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