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1396389755
MARK TATUM
CANTON, OH
NPI
1396389755
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367H00000X Anesthesiologist Assistant
Enumeration Date
2019-10-29
Last Update Date
2021-03-08
Business Address
MARK TATUM CAA
1320 MERCY DR NW
CANTON, OH 44708-2641
Phone number: 330-489-1000
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Mailing Address
MARK TATUM CAA
354 W MOHAWK DR
MALVERN, OH 44644-9627
Phone number: 724-601-1720
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