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1639789233
LUIS ENRIQUE MACIAS
SAN BERNARDINO, CA
NPI
1639789233
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2020-08-07
Last Update Date
2020-08-07
Business Address
LUIS ENRIQUE MACIAS
26967 BEAUMONT AVE., REDLANDS CA 92373
SAN BERNARDINO, CA 92407
Phone number: 702-423-2575
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Mailing Address
LUIS ENRIQUE MACIAS
18306 FLOWERING PLUM
SAN BERNARDINO, CA 92407-0613
Phone number: 702-423-2575
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