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1346368040
MARK TIMOTHY MCDONALD
LONG BEACH, CA
NPI
1346368040
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
225C00000X Rehabilitation Counselor
Enumeration Date
2007-03-27
Last Update Date
2013-06-28
Business Address
-- MARK TIMOTHY MCDONALD
456 ELM AVE
LONG BEACH, CA 90802-2426
Phone number: 562-437-6717
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Mailing Address
-- MARK TIMOTHY MCDONALD
633 E 1ST ST #12
LONG BEACH, CA 90802-5102
Phone number:
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