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1548551450
KENNETH WAXMAN, MD PROF CORP
SANTA BARBARA, CA
NPI
1548551450
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Entity Type
Organization
Authorized Contact
KENNETH WAXMAN
President
805-565-9863
Organization Subpart ?
No
Primary Taxonomy
174400000X Specialist
(Licence: CA G328720)
Enumeration Date
2011-04-26
Last Update Date
2011-04-26
Business Address
KENNETH WAXMAN, MD PROF CORP
1187 COAST VILLAGE RD #492
SANTA BARBARA, CA 93108-2737
Phone number: 805-565-9863
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Mailing Address
KENNETH WAXMAN, MD PROF CORP
1187 COAST VILLAGE RD #492
SANTA BARBARA, CA 93108-2737
Phone number: 805-565-9863
Copy
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