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1013204429
MARK MASSARO
WEST COVINA, CA
NPI
1013204429
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2011-07-06
Last Update Date
2012-01-19
Business Address
-- MARK MASSARO
1248 E SWANEE LN
WEST COVINA, CA 91790-1848
Phone number: 626-536-7238
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Mailing Address
-- MARK MASSARO
23701 E EAST FORK RD
AZUSA, CA 91702-1477
Phone number: 626-250-3300
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