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1134187990
MARK ELLISON DAVISON
STATE COLLEGE, PA
NPI
1134187990
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
213E00000X Podiatrist
(Licence: PA SC002529L)
Enumeration Date
2006-05-02
Last Update Date
2007-07-08
Business Address
Dr. MARK ELLISON DAVISON DPM
315 S ALLEN ST SUITE 118
STATE COLLEGE, PA 16801-4849
Phone number: 814-237-2204
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Mailing Address
Dr. MARK ELLISON DAVISON DPM
315 S ALLEN ST SUITE 118
STATE COLLEGE, PA 16801-4849
Phone number: 814-237-2204
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