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1336730571
MARY CAROLINE E. MACAM MANALO
ROSEVILLE, CA
NPI
1336730571
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP2300X Nurse Practitioner, Primary Care
(Licence: CA NP95016452)
Enumeration Date
2021-01-31
Last Update Date
2021-01-31
Business Address
MARY CAROLINE E. MACAM MANALO NP
701 PLEASANT GROVE BLVD #125
ROSEVILLE, CA 95678
Phone number: 916-784-7700
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Mailing Address
MARY CAROLINE E. MACAM MANALO NP
6511 NEBULA CT
ROCKLIN, CA 95677
Phone number: 951-756-3618
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