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1104257591
PATRICIA G. MACK
ESCONDIDO, CA
NPI
1104257591
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA IMF82775)
Enumeration Date
2013-12-10
Last Update Date
2014-10-31
Business Address
PATRICIA G. MACK IMF
330 E 11TH AVE
ESCONDIDO, CA 92025-5142
Phone number: 760-703-5994
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Mailing Address
PATRICIA G. MACK IMF
330 E 11TH AVE
ESCONDIDO, CA 92025-5142
Phone number: 760-703-5994
Copy
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