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1346285780
ELLIOTT LYLE WENGER
OAKLAND, CA
NPI
1346285780
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
213E00000X Podiatrist
(Licence: CA E1759)
Enumeration Date
2006-06-19
Last Update Date
2017-01-05
Business Address
Dr. ELLIOTT LYLE WENGER DPM
2929 SUMMIT ST 101
OAKLAND, CA 94609-3423
Phone number: 510-832-3137
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Mailing Address
Dr. ELLIOTT LYLE WENGER DPM
6425 OAKWOOD DR
OAKLAND, CA 94611-1350
Phone number: 510-832-3137
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