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1215223995
ROGER MARK LIST
COLUMBUS, OH
NPI
1215223995
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: OH APRN.CNP.12375)
Enumeration Date
2011-06-22
Last Update Date
2019-01-28
Business Address
Mr. ROGER MARK LIST APRN-CNP
460 W 10TH AVE
COLUMBUS, OH 43210
Phone number: 614-293-5502
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Mailing Address
Mr. ROGER MARK LIST APRN-CNP
700 ACKERMAN RD SUITE 570
COLUMBUS, OH 43202-1559
Phone number: 614-293-9450
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