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1528497393
MARK MITCHELL HOOTEN
COLUMBUS, GA
NPI
1528497393
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: VA 0102203660)
Enumeration Date
2013-11-02
Last Update Date
2013-11-02
Business Address
-- MARK MITCHELL HOOTEN DO
6254 WARM SPRINGS RD APT H21
COLUMBUS, GA 31909-9133
Phone number: 406-696-3978
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Mailing Address
-- MARK MITCHELL HOOTEN DO
6254 WARM SPRINGS RD APT H21
COLUMBUS, GA 31909-9133
Phone number: 406-696-3978
Copy
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