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1093469009
MAC JANE INC
CERRITOS, CA
NPI
1093469009
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Entity Type
Organization
Authorized Contact
JANET AGU
Owner
562-565-0699
Organization Subpart ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
Enumeration Date
2022-02-08
Last Update Date
2022-02-11
Business Address
MAC JANE INC
11200 LUCAS ST
CERRITOS, CA 90703-1626
Phone number: 562-565-0699
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Mailing Address
MAC JANE INC
PO BOX 1214
ARTESIA, CA 90702-1214
Phone number:
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