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1629009055
MARK S. WALLEN, D.P.M., INC.
SANTA MONICA, CA
NPI
1629009055
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Entity Type
Organization
Authorized Contact
MARK S. WALLEN
Owner
310-828-0122
Organization Subpart ?
No
Primary Taxonomy
213ES0131X Podiatrist, Foot Surgery
(Licence: CA E 3104)
Enumeration Date
2006-07-05
Last Update Date
2009-11-13
Business Address
MARK S. WALLEN, D.P.M., INC.
2001 SANTA MONICA BLVD 1190 W
SANTA MONICA, CA 90404-2102
Phone number: 310-828-0122
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Mailing Address
MARK S. WALLEN, D.P.M., INC.
2001 SANTA MONICA BLVD 1190 W
SANTA MONICA, CA 90404-2102
Phone number: 310-828-0122
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