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1942551635
MARCO ANTONIO SILVA
INDIO, CA
NPI
1942551635
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2012-09-21
Last Update Date
2013-07-10
Business Address
Mr. MARCO ANTONIO SILVA
47825 OASIS ST
INDIO, CA 92201-6950
Phone number: 760-863-8505
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Mailing Address
Mr. MARCO ANTONIO SILVA
47825 OASIS ST
INDIO, CA 92201-6950
Phone number: 760-863-8505
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