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1417952250
MARK L DONOVAN
JOHNSON CITY, TN
NPI
1417952250
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: TN 18834)
Enumeration Date
2005-06-17
Last Update Date
2016-01-18
Business Address
MARK L DONOVAN M.D.
301 MED TECH PKWY STE. 160
JOHNSON CITY, TN 37604-2364
Phone number: 423-794-5560
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Mailing Address
MARK L DONOVAN M.D.
301 MED TECH PKWY STE. 160
JOHNSON CITY, TN 37604-2364
Phone number: 423-794-5560
Copy
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