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1356601454
TULLY MACKAY-TISBERT
LOS ANGELES, CA
NPI
1356601454
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2012-05-22
Last Update Date
2013-05-22
Business Address
-- TULLY MACKAY-TISBERT
526 S SAN PEDRO ST
LOS ANGELES, CA 90013-2102
Phone number: 213-488-9559
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Mailing Address
-- TULLY MACKAY-TISBERT
526 S SAN PEDRO ST
LOS ANGELES, CA 90013-2102
Phone number: 213-488-9559
Copy
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