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1487158168
MARK JOSEPH AJALAT
LOS ANGELES, CA
NPI
1487158168
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2086S0129X Surgery, Vascular Surgery
(Licence: CA A164475)
Enumeration Date
2018-03-19
Last Update Date
2023-11-03
Business Address
MARK JOSEPH AJALAT
200 UCLA MEDICAL PLZ STE 526
LOS ANGELES, CA 90095-8358
Phone number: 310-206-6294
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Mailing Address
MARK JOSEPH AJALAT
5767 W CENTURY BLVD STE 400
LOS ANGELES, CA 90045-5631
Phone number:
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