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Organization

M.A. C. UNLIMITED, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. LAMONT KOLLORE (C.E.O.)
(314) 766-7198
Entity
Organization

Contact information

Practice address
5017 TENNESSEE AVE, SAINT LOUIS, MO 63111-1623
(314) 766-7198
Mailing address
5017 TENNESSEE AVE, SAINT LOUIS, MO 63111-1623
(314) 766-7198

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
11/05/2008
Last updated
11/05/2008
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