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1760641682
LANITA MACK
HUNTINGTON BEACH, CA
NPI
1760641682
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA 34437)
Enumeration Date
2008-06-05
Last Update Date
2010-08-17
Business Address
-- LANITA MACK DPT
7400 CENTER AVE
HUNTINGTON BEACH, CA 92647-3094
Phone number: 323-000-0000
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Mailing Address
-- LANITA MACK DPT
20292 MAJESTIC DR
APPLE VALLEY, CA 92308-5030
Phone number: 323-528-6993
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