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1336675289
KENNETH MAUCK
DEL MAR, CA
NPI
1336675289
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA PT21788)
Enumeration Date
2017-05-11
Last Update Date
2023-02-20
Business Address
KENNETH MAUCK P.T.
910 CAMINO DEL MAR STE G
DEL MAR, CA 92014-2800
Phone number: 619-933-2610
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Mailing Address
KENNETH MAUCK P.T.
910 CAMINO DEL MAR
DEL MAR, CA 92014-2800
Phone number: 619-933-2610
Copy
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