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1033422472
MYESHA M MACK
COMPTON, CA
NPI
1033422472
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225400000X Rehabilitation Practitioner
Enumeration Date
2010-07-14
Last Update Date
2010-07-14
Business Address
-- MYESHA M MACK
1085 W VICTORIA ST
COMPTON, CA 90220-5804
Phone number: 310-868-5379
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Mailing Address
-- MYESHA M MACK
1085 W VICTORIA ST
COMPTON, CA 90220-5804
Phone number: 310-868-5379
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