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1497910301
ROBERT M MACKIE
SANTA CRUZ, CA
NPI
1497910301
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date
2008-07-21
Last Update Date
2008-07-21
Business Address
MR. ROBERT M MACKIE
707 FAIR AVE
SANTA CRUZ, CA 95060-5828
Phone number: 831-427-1007
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Mailing Address
MR. ROBERT M MACKIE
20 VICTORIAN CT
SANTA CRUZ, CA 95060-2977
Phone number: 831-427-1007
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