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1033114517
MARK K SPENCER
BEND, OR
NPI
1033114517
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: OR PA00617)
Enumeration Date
2005-06-20
Last Update Date
2018-03-17
Business Address
MARK K SPENCER PA
1247 NE MEDICAL CENTER DR STE C
BEND, OR 97701-3786
Phone number: 541-706-5777
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Mailing Address
MARK K SPENCER PA
PO BOX 670
BEND, OR 97709-0670
Phone number: 541-706-5777
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