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1609903137
GUY R MANCUSO
POWAY, CA
NPI
1609903137
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: CA 30162)
Enumeration Date
2007-02-28
Last Update Date
2007-07-08
Business Address
Dr. GUY R MANCUSO D.D.S.
14761 POMERADO RD
POWAY, CA 92064-2802
Phone number: 858-748-5815
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Mailing Address
Dr. GUY R MANCUSO D.D.S.
14761 POMERADO RD
POWAY, CA 92064-2802
Phone number: 858-748-5815
Copy
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