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1861935082
MARK ANDREW CARLSON
TEMECULA, CA
NPI
1861935082
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171W00000X Contractor
(Licence: CA 18590)
Enumeration Date
2016-11-19
Last Update Date
2016-11-19
Business Address
-- MARK ANDREW CARLSON NMD, HHP, CMT, MST
29822 WINDWOOD CIR
TEMECULA, CA 92591-2807
Phone number: 949-254-1740
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Mailing Address
-- MARK ANDREW CARLSON NMD, HHP, CMT, MST
29822 WINDWOOD CIR
TEMECULA, CA 92591-2807
Phone number: 949-254-1740
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