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1154036168
NAKIETTA NAKIESE MACK
MERCED, CA
NPI
1154036168
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: CA 685332)
Enumeration Date
2023-01-16
Last Update Date
2023-06-29
Business Address
Ms. NAKIETTA NAKIESE MACK LVN
1343 W MAIN ST STE A&B
MERCED, CA 95340-4438
Phone number: 818-206-0360
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Mailing Address
Ms. NAKIETTA NAKIESE MACK LVN
1343 W MAIN ST STE A&B
MERCED, CA 95340-4438
Phone number:
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