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1952318461
BARRY JAY WALLMAN
AGOURA HILLS, CA
NPI
1952318461
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: CA G58527)
Enumeration Date
2006-08-01
Last Update Date
2015-04-22
Business Address
BARRY JAY WALLMAN
29525 CANWOOD ST #305
AGOURA HILLS, CA 91301-4233
Phone number: 818-707-7789
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Mailing Address
BARRY JAY WALLMAN
29525 CANWOOD ST #305
AGOURA HILLS, CA 91301-4233
Phone number: 818-707-7789
Copy
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