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1225507650
MARK LAWRENCE MOTOL SY
PASADENA, CA
NPI
1225507650
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
163WP0808X Registered Nurse, Psych/Mental Health
(Licence: CA 95085268)
Enumeration Date
2018-11-14
Last Update Date
2018-11-14
Business Address
MARK LAWRENCE MOTOL SY
411 N CARMELO AVE
PASADENA, CA 91107-2500
Phone number: 626-484-2538
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Mailing Address
MARK LAWRENCE MOTOL SY
411 N CARMELO AVE
PASADENA, CA 91107-2500
Phone number: 213-383-0050
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