MARK G BLACKSHEAR

LEMON GROVE, CA
NPI1114426525
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2018-02-12
Last Update Date2018-02-12
Business Address
Mr. MARK G BLACKSHEAR
3434 GROVE ST
LEMON GROVE, CA 91945-1812
Phone number: 619-281-3706
Mailing Address
Mr. MARK G BLACKSHEAR
3434 GROVE ST
LEMON GROVE, CA 91945-1812
Phone number: 619-273-4611
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