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1801807086
THERON CHARLES WELLS
MURRIETA, CA
NPI
1801807086
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: CA G69274)
Enumeration Date
2006-08-11
Last Update Date
2024-01-30
Business Address
THERON CHARLES WELLS MD
30755 AULD RD
MURRIETA, CA 92563-2599
Phone number: 951-696-3050
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Mailing Address
THERON CHARLES WELLS MD
22411 BAYBERRY
MISSION VIEJO, CA 92692-4543
Phone number: 951-378-6674
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