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1124505201
MARK MORIARTY
BELEN, NM
NPI
1124505201
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2018-07-23
Last Update Date
2018-07-23
Business Address
Mr. MARK MORIARTY PA
609 S CHRISTOPHER ROAD
BELEN, NM 87002
Phone number: 505-864-5454
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Mailing Address
Mr. MARK MORIARTY PA
7450 FLEMING ST
PITTSBURGH, PA 15218-2013
Phone number: 817-992-0494
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