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1669403903
MARK DOUBLE
JACKSON, MI
NPI
1669403903
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207L00000X Anesthesiology
(Licence: MI 51-01-011675)
Enumeration Date
2006-07-05
Last Update Date
2007-07-08
Business Address
Dr. MARK DOUBLE D.O.
205 N EAST AVE
JACKSON, MI 49201-1753
Phone number: 517-788-4963
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Mailing Address
Dr. MARK DOUBLE D.O.
205 N EAST AVE
JACKSON, MI 49201-1753
Phone number: 517-788-4963
Copy
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