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1326594144
DEBORAH WALLACH
BEVERLY HILLS, CA
NPI
1326594144
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA 95004542)
Enumeration Date
2016-08-31
Last Update Date
2016-10-11
Business Address
Ms. DEBORAH WALLACH FNP-BC, OCN, PMN
9090 WILSHIRE BLVD SUITE 200
BEVERLY HILLS, CA 90211-1850
Phone number: 310-888-8680
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Mailing Address
Ms. DEBORAH WALLACH FNP-BC, OCN, PMN
812 CAMINO REAL UNIT 102
REDONDO BEACH, CA 90277-4301
Phone number: 424-247-3150
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