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1013913391
MARK R DOMAN
BULLS GAP, TN
NPI
1013913391
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: TN 21947)
Enumeration Date
2005-06-22
Last Update Date
2011-08-29
Business Address
MARK R DOMAN M.D.
260 HIGHWAY 11 E
BULLS GAP, TN 37711-3416
Phone number: 423-235-4191
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Mailing Address
MARK R DOMAN M.D.
PO BOX 850
ROGERSVILLE, TN 37857-0850
Phone number: 423-235-4191
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