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1720085921
VICTOR WILLIAM MACKO
STOCKTON, CA
NPI
1720085921
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207X00000X Orthopaedic Surgery
(Licence: CA A44688)
Enumeration Date
2005-07-01
Last Update Date
2010-10-18
Business Address
-- VICTOR WILLIAM MACKO M.D.
2545 W HAMMER LN
STOCKTON, CA 95209-2839
Phone number: 209-957-7050
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Mailing Address
-- VICTOR WILLIAM MACKO M.D.
600 COFFEE RD
MODESTO, CA 95355-4201
Phone number: 209-524-1211
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