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1609004118
MARK ABRAHAM
RIVERVIEW, FL
NPI
1609004118
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171100000X Acupuncturist
(Licence: FL AP 2707)
Enumeration Date
2009-06-24
Last Update Date
2011-05-19
Business Address
MARK ABRAHAM D.O.M.
11025 POND PINE DR
RIVERVIEW, FL 33569-2235
Phone number: 813-732-2108
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Mailing Address
MARK ABRAHAM D.O.M.
11025 POND PINE DR
RIVERVIEW, FL 33569-2235
Phone number: 813-732-2108
Copy
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