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1902249691
ANDREA MACK
SAN DIEGO, CA
NPI
1902249691
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225400000X Rehabilitation Practitioner
Additional Taxonomies
101Y00000X Counselor
Enumeration Date
2013-04-11
Last Update Date
2023-09-04
Business Address
ANDREA MACK
2535 KETTNER BLVD 1A4
SAN DIEGO, CA 92101-1250
Phone number: 619-615-0701
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Mailing Address
ANDREA MACK
2535 KETTNER BLVD 1A4
SAN DIEGO, CA 92101-1250
Phone number: 619-615-0701
Copy
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