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1932235371
MARY V WOODFORK
LOS ANGELES, CA
NPI
1932235371
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA PA11675)
Enumeration Date
2007-02-27
Last Update Date
2007-07-08
Business Address
Ms. MARY V WOODFORK PA-C
12021 WILMINGTON AVE
LOS ANGELES, CA 90059-3019
Phone number: 310-668-4515
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Mailing Address
Ms. MARY V WOODFORK PA-C
PO BOX 3136
CULVER CITY, CA 90231-3136
Phone number:
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