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1437416955
JACOB MARK
AURORA, CO
NPI
1437416955
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2080P0206X Pediatrics, Pediatric Gastroenterology
(Licence: CO DR.0055431)
Enumeration Date
2012-04-20
Last Update Date
2018-07-28
Business Address
JACOB MARK
13123 E 16TH AVE
AURORA, CO 80045
Phone number: 720-777-1234
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Mailing Address
JACOB MARK
PO BOX 110429
AURORA, CO 80042-0429
Phone number: 303-493-7000
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