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1659357325
MARK SUPER
SACRAMENTO, CA
NPI
1659357325
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
174400000X Specialist
(Licence: CA G52385)
Enumeration Date
2005-12-15
Last Update Date
2007-07-08
Business Address
Dr. MARK SUPER M.D.
4400 V ST
SACRAMENTO, CA 95817-1445
Phone number: 916-734-0694
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Mailing Address
Dr. MARK SUPER M.D.
4400 V ST
SACRAMENTO, CA 95817-1445
Phone number:
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