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1174738793
MARK ALLEN TAYLOR
MINNEAPOLIS, MN
NPI
1174738793
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date
2007-05-14
Last Update Date
2008-01-30
Business Address
Mr. MARK ALLEN TAYLOR IDC
5905 34TH AVE S
MINNEAPOLIS, MN 55450-2900
Phone number: 612-713-4849
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Mailing Address
Mr. MARK ALLEN TAYLOR IDC
5905 34TH AVE S
MINNEAPOLIS, MN 55450-2900
Phone number: 612-713-4849
Copy
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