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1205166014
MARK MADISON
SAN DIEGO, CA
NPI
1205166014
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225400000X Rehabilitation Practitioner
Enumeration Date
2009-12-30
Last Update Date
2023-04-05
Business Address
MARK MADISON
2535 KETTNER BLVD SUITE 1A4
SAN DIEGO, CA 92101-1250
Phone number: 619-615-0701
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Mailing Address
MARK MADISON
5650 MOUNT ACKERLY DR
SAN DIEGO, CA 92111-4016
Phone number: 619-254-8980
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