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1720089337
MARY ELLEN WAKIM
SAN FERNANDO, CA
NPI
1720089337
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: CA G6859)
Enumeration Date
2005-08-04
Last Update Date
2013-04-15
Business Address
Dr. MARY ELLEN WAKIM M.D.
1600 SAN FERNANDO RD
SAN FERNANDO, CA 91340-3115
Phone number: 818-365-8086
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Mailing Address
Dr. MARY ELLEN WAKIM M.D.
1172 N MACLAY AVE
SAN FERNANDO, CA 91340-1328
Phone number: 818-898-1388
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