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1558629360
MARK FACCIOLO
LEWES, DE
NPI
1558629360
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
208600000X Surgery
(Licence: DE C2-0012244)
Enumeration Date
2012-04-30
Last Update Date
2018-03-17
Business Address
MARK FACCIOLO DO
1515 SAVANNAH ROAD
LEWES, DE 19958-0001
Phone number: 302-313-2000
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Mailing Address
MARK FACCIOLO DO
1515 SAVANNAH ROAD
LEWES, DE 19958-0001
Phone number:
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