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1780383091
MARK BURGESS
UKIAH, CA
NPI
1780383091
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2023-02-24
Last Update Date
2023-02-24
Business Address
MARK BURGESS
169 MASON ST STE 300
UKIAH, CA 95482-4483
Phone number: 707-463-3300
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Mailing Address
MARK BURGESS
169 MASON ST STE 300
UKIAH, CA 95482-4483
Phone number: 707-463-3300
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