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1740655448
MICHAEL WELLS
RIVERSIDE, CA
NPI
1740655448
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
224L00000X Pedorthist
(Licence: CA CPED3921)
Enumeration Date
2015-12-07
Last Update Date
2015-12-07
Business Address
MR. MICHAEL WELLS C.PED
1835 CHICAGO AVE UNIT A
RIVERSIDE, CA 92507-2378
Phone number: 909-908-3920
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Mailing Address
MR. MICHAEL WELLS C.PED
1835 CHICAGO AVE UNIT A
RIVERSIDE, CA 92507-2378
Phone number: 909-908-3920
Copy