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1427599018
MARK MARBLE
JACKSON, MS
NPI
1427599018
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225800000X Recreation Therapist
(Licence: FL 27057)
Enumeration Date
2017-03-15
Last Update Date
2017-03-15
Business Address
-- MARK MARBLE CTRS
1500 E WOODROW WILSON AVE
JACKSON, MS 39216-5116
Phone number: 601-362-4471
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Mailing Address
-- MARK MARBLE CTRS
1500 E WOODROW WILSON AVE
JACKSON, MS 39216-5116
Phone number:
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