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1407627540
MARK ALAN WAYER
COTTAGE GROVE, MN
NPI
1407627540
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
3747A0650X Technician Attendant Care Provider
Enumeration Date
2024-01-09
Last Update Date
2024-01-09
Business Address
MARK ALAN WAYER
9175 62ND ST S
COTTAGE GROVE, MN 55016
Phone number: 618-980-6393
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Mailing Address
MARK ALAN WAYER
9175 62ND ST S
COTTAGE GROVE, MN 55016
Phone number: 618-980-6393
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