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1972534394
NORMAN THEODORE BUETOW
GLENDALE, CA
NPI
1972534394
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
208D00000X General Practice
(Licence: CA G40726)
Enumeration Date
2006-07-05
Last Update Date
2007-07-08
Business Address
-- NORMAN THEODORE BUETOW
541 W COLORADO ST
GLENDALE, CA 91204-3638
Phone number: 818-638-8522
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Mailing Address
-- NORMAN THEODORE BUETOW
38465 OAKTREE LOOP
MURRIETA, CA 92562-3009
Phone number:
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