MARK MYDAN

BELLINGHAM, WA
NPI1104292499
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy174400000X Specialist
(Licence: WA  OT 60084951)
Enumeration Date2015-08-20
Last Update Date2015-08-20
Business Address
Mr. MARK MYDAN OTR/L
544 MIDWOOD CT
BELLINGHAM, WA 98229-7102
Phone number: 360-595-8427
Mailing Address
Mr. MARK MYDAN OTR/L
544 MIDWOOD CT
BELLINGHAM, WA 98229-7102
Phone number: 360-595-8427
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