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1407112345
MARK WALLACE EISNER
LOS ANGELES, CA
NPI
1407112345
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2012-04-04
Last Update Date
2012-04-04
Business Address
Mr. MARK WALLACE EISNER RKT
11301 WILSHIRE BLVD
LOS ANGELES, CA 90073-1003
Phone number: 310-478-3711
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Mailing Address
Mr. MARK WALLACE EISNER RKT
11301 WILSHIRE BLVD
LOS ANGELES, CA 90073-1003
Phone number: 310-478-3711
Copy
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