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1629057625
CHARLES M WALWORTH
FOUNTAIN VALLEY, CA
NPI
1629057625
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
174400000X Specialist
(Licence: CA G83332)
Enumeration Date
2006-01-10
Last Update Date
2007-07-08
Business Address
Dr. CHARLES M WALWORTH MD
11190 WARNER AVE SUITE 411
FOUNTAIN VALLEY, CA 92708-4019
Phone number: 714-751-5800
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Mailing Address
Dr. CHARLES M WALWORTH MD
1380 HILLCREST DR
LAGUNA BEACH, CA 92651-1447
Phone number: 949-376-5731
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