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1568104552
MICHAEL JOSEPH WALTZ
SAN DIEGO, CA
NPI
1568104552
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2022-04-10
Last Update Date
2022-04-10
Business Address
-- MICHAEL JOSEPH WALTZ
34101 FARENHOLT AVE BLDG 14
SAN DIEGO, CA 92134-7000
Phone number: 619-532-7968
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Mailing Address
-- MICHAEL JOSEPH WALTZ
3920 INGRAHAM ST APT 11-109
SAN DIEGO, CA 92109-5915
Phone number: 805-358-4647
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