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1346290392
MARK A RUPERT
BRYN MAWR, PA
NPI
1346290392
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363AM0700X Physician Assistant Medical
(Licence: PA MA-003224-L)
Enumeration Date
2006-05-11
Last Update Date
2016-09-07
Business Address
MARK A RUPERT PA-C
130 S BRYN MAWR AVE
BRYN MAWR, PA 19010-3121
Phone number: 717-719-2973
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Mailing Address
MARK A RUPERT PA-C
130 S. BRYN MAWR AVE. BRYN MAWR HOSPITAL
BRYN MAWR, PA 19010
Phone number:
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