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1184649584
MARK BLAINE MANN
CLINTON, OK
NPI
1184649584
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: OK 20775)
Enumeration Date
2006-07-13
Last Update Date
2010-07-09
Business Address
-- MARK BLAINE MANN M.D.
90 N 30TH ST SUITE 4
CLINTON, OK 73601-3101
Phone number: 580-323-0232
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Mailing Address
-- MARK BLAINE MANN M.D.
90 N 30TH ST SUITE 4
CLINTON, OK 73601-3101
Phone number: 580-323-0232
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