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1639824105
WONDERMED OF CALIFORNIA, INC
VENICE, CA
NPI
1639824105
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Entity Type
Organization
Authorized Contact
SANTINO LABATE
Compliance
949-201-6090
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
Enumeration Date
2022-02-14
Last Update Date
2022-03-28
Business Address
WONDERMED OF CALIFORNIA, INC
828 CRESTMOORE PL
VENICE, CA 90291-4931
Phone number: 310-692-1469
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Mailing Address
WONDERMED OF CALIFORNIA, INC
828 CRESTMOORE PL
VENICE, CA 90291-4931
Phone number: 310-692-1469
Copy
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