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1083049977
MARK MCMANUS
SAN FRANCISCO, CA
NPI
1083049977
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171W00000X Contractor
(Licence: CA 9994)
Enumeration Date
2013-09-10
Last Update Date
2013-09-10
Business Address
MARK MCMANUS M.S., OTR/L
178 DENSLOWE DR
SAN FRANCISCO, CA 94132-2035
Phone number: 415-548-0000
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Mailing Address
MARK MCMANUS M.S., OTR/L
108 LEHMAN LN
MILL VALLEY, CA 94941-3449
Phone number: 415-328-7536
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