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1174582647
MARK ALLEN STAAL
FORT LIBERTY, NC
NPI
1174582647
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: MI 6301008838)
Enumeration Date
2006-03-22
Last Update Date
2024-11-26
Business Address
MARK ALLEN STAAL PH.D
2817 ROCK MERRITT AVE WOMACK ARMY MEDICAL CENTER
FORT LIBERTY, NC 28310-0001
Phone number: 910-907-8922
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Mailing Address
MARK ALLEN STAAL PH.D
2817 ROCK MERRITT AVE WOMACK ARMY MEDICAL CENTER
FORT LIBERTY, NC 28310-0001
Phone number: 910-907-8922
Copy
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