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1336268713
MARIO DAVID MALDONADO
LANCASTER, CA
NPI
1336268713
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2007-03-28
Last Update Date
2007-07-09
Business Address
Mr. MARIO DAVID MALDONADO TBS
921 W AVENUE J
LANCASTER, CA 93534-3443
Phone number: 661-949-0131
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Mailing Address
Mr. MARIO DAVID MALDONADO TBS
3300 15TH ST W SPC 76
ROSAMOND, CA 93560-7316
Phone number: 661-256-8108
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