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1447887344
MARQUELL MARCUS CRADDOCK
LOS ANGELES, CA
NPI
1447887344
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2020-03-23
Last Update Date
2021-11-29
Business Address
MARQUELL MARCUS CRADDOCK MD
4733 W SUNSET BLVD FL 3
LOS ANGELES, CA 90027-6021
Phone number: 503-813-2000
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Mailing Address
MARQUELL MARCUS CRADDOCK MD
4733 W SUNSET BLVD FL 3
LOS ANGELES, CA 90027-6021
Phone number:
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