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1053615781
MARK EDWARD DURHAM
COLORADO SPRINGS, CO
NPI
1053615781
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
(Licence: CO 1336)
Enumeration Date
2011-01-10
Last Update Date
2011-01-10
Business Address
Mr. MARK EDWARD DURHAM RMT
2208 RAMSGATE TER
COLORADO SPRINGS, CO 80919-3175
Phone number: 719-233-0213
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Mailing Address
Mr. MARK EDWARD DURHAM RMT
2208 RAMSGATE TER
COLORADO SPRINGS, CO 80919-3175
Phone number: 719-233-0213
Copy
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