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1376556985
MARK BLAKE HORTON
PHOENIX, AZ
NPI
1376556985
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207W00000X Ophthalmology
(Licence: AZ 16242)
Enumeration Date
2006-08-14
Last Update Date
2007-07-09
Business Address
-- MARK BLAKE HORTON M.D.
4212 N 16TH ST PHOENIX INDIAN MEDICAL CENTER
PHOENIX, AZ 85016-5319
Phone number: 602-263-1511
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Mailing Address
-- MARK BLAKE HORTON M.D.
PO BOX 31001-0698
PASADENA, CA 91110-0698
Phone number: 602-263-1511
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