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1104010008
MARIO MARCHAN LOPEZ
RIVERSIDE, CA
NPI
1104010008
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2007-09-04
Last Update Date
2011-03-02
Business Address
Mr. MARIO MARCHAN LOPEZ B.A.
10182 INDIANA AVE
RIVERSIDE, CA 92503-5304
Phone number: 951-452-2356
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Mailing Address
Mr. MARIO MARCHAN LOPEZ B.A.
10182 INDIANA AVE
RIVERSIDE, CA 92503-5304
Phone number: 951-452-2356
Copy
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