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1275502684
MARK RAINE
KETCHIKAN, AK
NPI
1275502684
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: AK 3402)
Enumeration Date
2006-03-16
Last Update Date
2007-07-08
Business Address
-- MARK RAINE MD
3100 S TONGASS HWY
KETCHIKAN, AK 99901-9600
Phone number: 907-228-7601
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Mailing Address
-- MARK RAINE MD
PO BOX 6484
KETCHIKAN, AK 99901-1484
Phone number:
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