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1427225804
JUAQUINA MACKIE
LOS ANGELES, CA
NPI
1427225804
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2008-05-14
Last Update Date
2008-05-14
Business Address
-- JUAQUINA MACKIE
8904 S VERMONT AVE
LOS ANGELES, CA 90044-4834
Phone number: 323-753-5950
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Mailing Address
-- JUAQUINA MACKIE
8904 S VERMONT AVE
LOS ANGELES, CA 90044-4834
Phone number: 323-753-5950
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