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1386123370
CORY DEVIN MACKINNON
ESCONDIDO, CA
NPI
1386123370
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
175T00000X Peer Specialist
Enumeration Date
2018-08-09
Last Update Date
2018-08-09
Business Address
CORY DEVIN MACKINNON
490 N GRAPE ST
ESCONDIDO, CA 92025-3079
Phone number: 760-975-9939
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Mailing Address
CORY DEVIN MACKINNON
490 N GRAPE ST
ESCONDIDO, CA 92025-3079
Phone number: 760-975-9939
Copy
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