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1013550664
MARK MIDGET
COLTON, CA
NPI
1013550664
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: CA 95125871)
Enumeration Date
2019-10-25
Last Update Date
2019-10-25
Business Address
MARK MIDGET
400 N PEPPER AVE
COLTON, CA 92324-1801
Phone number: 909-580-3145
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Mailing Address
MARK MIDGET
400 N PEPPER AVE
COLTON, CA 92324-1801
Phone number:
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