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1588692602
MARK DAVID ROMAN
DALLAS, GA
NPI
1588692602
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: FL PA9101641)
Enumeration Date
2006-06-29
Last Update Date
2018-08-13
Business Address
Mr. MARK DAVID ROMAN PA-C
225 MARY WALLACE WAY
DALLAS, GA 30157-5054
Phone number: 770-608-3302
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Mailing Address
Mr. MARK DAVID ROMAN PA-C
10 KRUGER RD
PLAINS, MT 59859-9271
Phone number: 406-826-4800
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