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1316976509
AGNES SORIANO WALLBOM
LOS ANGELES, CA
NPI
1316976509
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208100000X Physical Medicine & Rehabilitation
(Licence: CA g078095)
Enumeration Date
2006-07-01
Last Update Date
2007-07-08
Business Address
-- AGNES SORIANO WALLBOM M.D., M.S.
11301 WILSHIRE BLVD # 117 GLAVAHS DEPT PM&R
LOS ANGELES, CA 90073-1003
Phone number: 310-478-3711
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Mailing Address
-- AGNES SORIANO WALLBOM M.D., M.S.
11301 WILSHIRE BLVD # 117 GLAVAHS DEPT PM&R
LOS ANGELES, CA 90073-1003
Phone number: 310-478-3711
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