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1629677398
DESTINY L MACK
WASHINGTON, DC
NPI
1629677398
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant Medical
Enumeration Date
2020-10-22
Last Update Date
2021-10-05
Business Address
DESTINY L MACK
900 23RD ST NW
WASHINGTON, DC 20037-2342
Phone number: 202-715-4000
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Mailing Address
DESTINY L MACK
2309 SHOREFIELD RD APT 122
SILVER SPRING, MD 20902-1853
Phone number: 240-425-3791
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