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1154649861
MARK D BEDARD
ORANGE PARK, FL
NPI
1154649861
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: FL OS 12071)
Enumeration Date
2010-05-06
Last Update Date
2018-12-24
Business Address
MARK D BEDARD D.O.
2140 SMITH ST CREDENTIALING DEPARTMENT
ORANGE PARK, FL 32073-5554
Phone number: 904-269-2140
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Mailing Address
MARK D BEDARD D.O.
PO BOX 45443
SALT LAKE CITY, UT 84145-0443
Phone number: 904-202-1032
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