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1295356236
SUSAN MARK
LONGVIEW, WA
NPI
1295356236
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Former Name
SUSAN MORDICK
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
175T00000X Peer Specialist
Enumeration Date
2020-04-30
Last Update Date
2021-09-23
Business Address
SUSAN MARK
720 14TH AVE
LONGVIEW, WA 98632-2315
Phone number: 360-423-0203
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Mailing Address
SUSAN MARK
PO BOX 1847
LONGVIEW, WA 98632-8140
Phone number: 360-423-0203
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