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1063726750
MARK DAMON MONTELONGO
WACO, TX
NPI
1063726750
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TX 734468)
Enumeration Date
2010-08-05
Last Update Date
2010-08-05
Business Address
Mr. MARK DAMON MONTELONGO NP
6901 MEDICAL PARKWAY
WACO, TX 76712-7910
Phone number: 254-751-4756
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Mailing Address
Mr. MARK DAMON MONTELONGO NP
6901 MEDICAL PKWY
WACO, TX 76712-7910
Phone number: 254-751-4756
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