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1023849304
MACKINELY GOLDTHWAITE
SAN DIEGO, CA
NPI
1023849304
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171000000X Military Health Care Provider
Enumeration Date
2024-08-09
Last Update Date
2024-08-09
Business Address
MACKINELY GOLDTHWAITE IDC
34101 FARENHOLT AVE BLDG 14
SAN DIEGO, CA 92134-7000
Phone number: 619-532-7968
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Mailing Address
MACKINELY GOLDTHWAITE IDC
5543 ADOBE FALLS RD UNIT 6
SAN DIEGO, CA 92120-4458
Phone number: 603-731-9392
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