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1114018363
JONATHAN B MARK
DURHAM, NC
NPI
1114018363
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207L00000X Anesthesiology
(Licence: NC 18451)
Enumeration Date
2006-09-27
Last Update Date
2007-07-08
Business Address
Dr. JONATHAN B MARK M.D.
508 FULTON STREET VA MEDICAL CENTER
DURHAM, NC 27705
Phone number: 919-286-6938
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Mailing Address
Dr. JONATHAN B MARK M.D.
14 MAYAPPLE PL
DURHAM, NC 27705-1953
Phone number: 919-383-0981
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