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| Type | Person | [sources] | |||
|---|---|---|---|---|---|
| Name | Mark Albert Rettenmaier | [sources] | |||
| Alias | aka Tru, Mark A. | [sources] | |||
| Birth date | not available | [sources] | |||
| Nationality | not available | [sources] | |||
| Country | United States | [sources] | |||
| First name | Mark | [sources] | |||
| Last name | Rettenmaier | [sources] | |||
| Middle name | Albert | [sources] | |||
| Registration number | 00A326920 · 1134166697 · A 32692 · CGP071935 | [sources] | |||
| Sector | Physician | [sources] | |||
| Address | 25462 Rodeo Cir., Laguna Hills, CA 92653 | [sources] | |||
| Last change | Last processed | First seen | |||
Medical providers suspended from or otherwise deemed ineligible to participate in California's Medicaid program.
United States · DHCS
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