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1063946341
MARI CARLO MANZANA
INDIO, CA
NPI
1063946341
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: CA A157573)
Enumeration Date
2017-04-13
Last Update Date
2021-12-03
Business Address
MARI CARLO MANZANA
46900 MONROE ST
INDIO, CA 92201-4827
Phone number: 833-574-2273
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Mailing Address
MARI CARLO MANZANA
PO BOX 66
IMPERIAL, CA 92251-0066
Phone number: 760-332-8688
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