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1821068214
KENNETH WAXMAN
SANTA BARBARA, CA
NPI
1821068214
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
(Licence: CA G32872)
Enumeration Date
2006-01-26
Last Update Date
2007-08-29
Business Address
-- KENNETH WAXMAN MD
320 W PUEBLO ST
SANTA BARBARA, CA 93105-4311
Phone number: 805-569-7316
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Mailing Address
-- KENNETH WAXMAN MD
1187 COAST VILLAGE RD 492
SANTA BARBARA, CA 93108-2737
Phone number: 805-569-7316
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