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1093909707
MARK E BAUS
PHILADELPHIA, PA
NPI
1093909707
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: PA SP008939)
Enumeration Date
2007-09-05
Last Update Date
2007-09-05
Business Address
-- MARK E BAUS CRNP
111 S 11TH ST GIBBON, SUITE 2210
PHILADELPHIA, PA 19107-4824
Phone number: 609-790-6631
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Mailing Address
-- MARK E BAUS CRNP
111 S 11TH ST GIBBON, SUITE 2210
PHILADELPHIA, PA 19107-4824
Phone number: 609-790-6631
Copy
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