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1639687239
OMAR MACIAS
SAN FERNANDO, CA
NPI
1639687239
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2018-01-17
Last Update Date
2023-10-17
Business Address
OMAR MACIAS
919 1ST ST
SAN FERNANDO, CA 91340-2957
Phone number: 323-233-0425
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Mailing Address
OMAR MACIAS
919 1ST ST
SAN FERNANDO, CA 91340-2957
Phone number: 818-256-2206
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