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1205072998
STEPHANIE LIND MACKANIC
LOS ANGELES, CA
NPI
1205072998
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: CA 20A9761)
Enumeration Date
2008-12-30
Last Update Date
2008-12-30
Business Address
STEPHANIE LIND MACKANIC DO
6041 CADILLAC AVE
LOS ANGELES, CA 90034-1702
Phone number: 323-857-2000
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Mailing Address
STEPHANIE LIND MACKANIC DO
6041 CADILLAC AVE
LOS ANGELES, CA 90034-1702
Phone number: 323-857-2000
Copy
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