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1528103959
CHARLENE THERESA MARK
DETROIT, MI
NPI
1528103959
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MI 4704138698)
Enumeration Date
2007-02-21
Last Update Date
2021-02-25
Business Address
Mrs. CHARLENE THERESA MARK MSN, FNP, BC
3031 W GRAND BLVD STE 800
DETROIT, MI 48202-3141
Phone number: 313-916-2454
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Mailing Address
Mrs. CHARLENE THERESA MARK MSN, FNP, BC
505 N MILITARY ST
DEARBORN, MI 48124-1191
Phone number: 313-378-2518
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