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1033395074
MARK GROGAN TUSA
TEMPLE, TX
NPI
1033395074
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207N00000X Dermatology
(Licence: TX M8395)
Enumeration Date
2008-01-20
Last Update Date
2009-11-23
Business Address
Dr. MARK GROGAN TUSA MD
409 W ADAMS AVE
TEMPLE, TX 76501-4211
Phone number: 254-742-3775
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Mailing Address
Dr. MARK GROGAN TUSA MD
409 W ADAMS AVE
TEMPLE, TX 76501-4211
Phone number: 254-742-3775
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