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1366501702
MARK CHARLES KAHLBAUGH
GILBERT, AZ
NPI
1366501702
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225XP0200X Occupational Therapist, Pediatrics
(Licence: AZ 2559)
Enumeration Date
2006-12-08
Last Update Date
2007-07-08
Business Address
Mr. MARK CHARLES KAHLBAUGH O.T.
2093 E WILLOW WICK RD
GILBERT, AZ 85296-2747
Phone number: 480-205-6917
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Mailing Address
Mr. MARK CHARLES KAHLBAUGH O.T.
2093 E WILLOW WICK RD
GILBERT, AZ 85296-2747
Phone number: 480-205-6917
Copy
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