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Individual

ENID L SEAL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
27601 FORBES RD, SUITE 24, LAGUNA NIGUEL, CA 92677-1201
(949) 582-9210
(949) 582-9280
Mailing address
27601 FORBES RD, SUITE 24, LAGUNA NIGUEL, CA 92677-1201
(949) 582-9210
(949) 582-9280

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
SR EAA99941141
CA

Other

Enumeration date
12/29/2006
Last updated
07/08/2007
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