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Individual
MELVYN MAHON II
Active
Individual
MELVYN MAHON II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
JD
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
UNKNOEN
UNKNOWN
CA
Enumeration date
11/02/2022
Last updated
09/12/2023
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