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1023311024
MARK EDWARD O'DONNELL
SILVERDALE, WA
NPI
1023311024
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171000000X Military Health Care Provider
Enumeration Date
2010-12-13
Last Update Date
2010-12-13
Business Address
-- MARK EDWARD O'DONNELL idc
2100 THRESHER AVE
SILVERDALE, WA 98315-2103
Phone number: 360-396-4206
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Mailing Address
-- MARK EDWARD O'DONNELL idc
2100 THRESHER AVE
SLIVERDALE, WA 98315
Phone number:
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