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1457790594
MARY KATHERINE MADDOCK
CULVER CITY, CA
NPI
1457790594
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: CA 23327)
Enumeration Date
2013-06-21
Last Update Date
2021-11-26
Business Address
MARY KATHERINE MADDOCK
9808 VENICE BLVD SUITE 700
CULVER CITY, CA 90232-2732
Phone number: 310-945-3350
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Mailing Address
MARY KATHERINE MADDOCK
9808 VENICE BLVDS SUITE 700
CULVER CITY, CA 90232
Phone number: 310-945-3350
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