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1083010227
MARK LOUDERMILK
BROOKLYN, NY
NPI
1083010227
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: NY 641810)
Enumeration Date
2014-11-17
Last Update Date
2014-11-17
Business Address
-- MARK LOUDERMILK RN
1529 ROYCE ST. 3I
BROOKLYN, NY 11234
Phone number: 718-877-5143
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Mailing Address
-- MARK LOUDERMILK RN
1529 ROYCE ST APT 3I
BROOKLYN, NY 11234-5876
Phone number: 718-877-5143
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