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1104133438
MARK DUANE ASHBAKER
FT LEONARD WOOD, MO
NPI
1104133438
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
156F00000X Technician/Technologist
Enumeration Date
2010-09-08
Last Update Date
2010-09-08
Business Address
Mr. MARK DUANE ASHBAKER
126 MISSOURI AVENUE
FT LEONARD WOOD, MO 65473
Phone number: 573-596-0048
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Mailing Address
Mr. MARK DUANE ASHBAKER
28665 HIGHWAY AB
RICHLAND, MO 65556-7463
Phone number: 757-525-0501
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