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1578611554
JILL MARIE WAALEN
SAN DIEGO, CA
NPI
1578611554
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208D00000X General Practice
(Licence: CA A69683)
Enumeration Date
2007-01-08
Last Update Date
2007-11-30
Business Address
JILL MARIE WAALEN MD
4405 VANDEVER AVE
SAN DIEGO, CA 92120-3315
Phone number: 619-528-5000
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Mailing Address
JILL MARIE WAALEN MD
393 E WALNUT ST 3RD FLOOR PHR SYSTEMS
PASADENA, CA 91188-0001
Phone number: 000-000-0000
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