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1093412157
MARIO JAMAR MACK
CHULA VISTA, CA
NPI
1093412157
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2023-02-09
Last Update Date
2023-02-09
Business Address
MARIO JAMAR MACK
2304 SPANISH BAY RD
CHULA VISTA, CA 91915-2108
Phone number: 619-607-8450
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Mailing Address
MARIO JAMAR MACK
2304 SPANISH BAY RD
CHULA VISTA, CA 91915-2108
Phone number: 619-607-8450
Copy
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