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1003551854
MARK DEAN WAGUESPACK
PHILADELPHIA, PA
NPI
1003551854
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2022-05-04
Last Update Date
2023-06-20
Business Address
MARK DEAN WAGUESPACK MD
111 S 11TH ST DEPT OF
PHILADELPHIA, PA 19107-4824
Phone number: 215-955-6000
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Mailing Address
MARK DEAN WAGUESPACK MD
111 S 11TH ST DEPT OF
PHILADELPHIA, PA 19107-4824
Phone number: 215-955-6000
Copy
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