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Individual

DAVID WISHNEWSKY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
309 E MOUNTAIN VIEW ST, SUITE 100, BARSTOW, CA 92311-2814
(760) 256-0376
(760) 266-0377
Mailing address
PO BOX 7369, REDLANDS, CA 92375-0369
(909) 335-7067
(909) 792-2045

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
CA

Other

Enumeration date
06/15/2007
Last updated
07/08/2007
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