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1780270900
ELISABETH ANN MACK
SAN DIEGO, CA
NPI
1780270900
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163WG0000X Registered Nurse General Practice
(Licence: CA RN452901)
Enumeration Date
2020-12-13
Last Update Date
2020-12-13
Business Address
ELISABETH ANN MACK RN
4130 MARYLAND ST
SAN DIEGO, CA 92103-2330
Phone number: 619-370-3049
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Mailing Address
ELISABETH ANN MACK RN
4130 MARYLAND ST
SAN DIEGO, CA 92103-2330
Phone number: 619-370-3049
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