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Organization
THERON WELLS MD INCORPORATED
Active
Organization
THERON WELLS MD INCORPORATED
Active
Other names
theron wells md
Organization subpart
No
Provider details
NPI number
Authorized official
THERON CHARLES WELLS MD (OWNER-MD)
(951) 371-9391
Entity
Organization
Contact information
Practice address
730 MAGNOLIA AVE, CORONA, CA 92879-3117
(951) 371-9391
(951) 346-9040
Mailing address
PO BOX 2377, CORONA, CA 92878-2377
(951) 371-9391
(951) 346-9040
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
G69274
CA
Other
Enumeration date
01/19/2007
Last updated
07/11/2007
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