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1467997999
RYAN MACK
LAWRENCEVILLE, GA
NPI
1467997999
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2016-12-19
Last Update Date
2016-12-19
Business Address
-- RYAN MACK
965 OAKLAND RD 3B
LAWRENCEVILLE, GA 30044-3758
Phone number: 678-376-3800
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Mailing Address
-- RYAN MACK
965 OAKLAND ROAD 3B
LAWRENCEVILLE, GA 30044
Phone number: 678-376-3800
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