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1245748334
MARK FUGATE
BRADFORD, PA
NPI
1245748334
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103T00000X Psychologist
(Licence: PA PS017835)
Enumeration Date
2018-01-11
Last Update Date
2018-01-11
Business Address
MARK FUGATE
800 E MAIN ST
BRADFORD, PA 16701-3278
Phone number: 814-817-1400
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Mailing Address
MARK FUGATE
800 E MAIN ST
BRADFORD, PA 16701-3278
Phone number: 814-817-1400
Copy
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