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1336761337
CAMDEN LAWRENCE WITTENAUER
LOS ANGELES, CA
NPI
1336761337
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2020-05-12
Last Update Date
2020-05-12
Business Address
CAMDEN LAWRENCE WITTENAUER
1127 WILSHIRE BLVD STE 1504
LOS ANGELES, CA 90017-4006
Phone number: 323-329-9005
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Mailing Address
CAMDEN LAWRENCE WITTENAUER
23738 CASTLE ROCK
MISSION VIEJO, CA 92692-1899
Phone number:
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