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1437296696
MARK DERR
FRESNO, CA
NPI
1437296696
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225400000X Rehabilitation Practitioner
(Licence: CA VN 164062)
Enumeration Date
2007-01-30
Last Update Date
2007-07-08
Business Address
-- MARK DERR
4411 E KINGS CANYON RD
FRESNO, CA 93702-3604
Phone number: 559-453-6304
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Mailing Address
-- MARK DERR
4411 E KINGS CANYON RD
FRESNO, CA 93702-3604
Phone number: 559-453-6304
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