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1275649758
MARK CUSTODIO OLIVER
COLUMBUS, GA
NPI
1275649758
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: GA 048557)
Enumeration Date
2006-08-21
Last Update Date
2020-03-20
Business Address
Dr. MARK CUSTODIO OLIVER M.D.
2416 CAPSTONE CT
COLUMBUS, GA 31909-2795
Phone number: 706-327-1281
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Mailing Address
Dr. MARK CUSTODIO OLIVER M.D.
2416 CAPSTONE CT
COLUMBUS, GA 31909-2795
Phone number: 706-327-1281
Copy
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