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1568542363
DOUGLAS JAMES WISE
TEMECULA, CA
NPI
1568542363
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: CA 20A5399)
Enumeration Date
2006-10-16
Last Update Date
2007-07-09
Business Address
-- DOUGLAS JAMES WISE D.O.
40285 WINCHESTER RD #103
TEMECULA, CA 92591-5547
Phone number: 951-296-5844
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Mailing Address
-- DOUGLAS JAMES WISE D.O.
40285 WINCHESTER RD #103
TEMECULA, CA 92591-5547
Phone number: 951-296-5844
Copy
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