MARK A. LAFORME

JACKSONVILLE, NC
NPI1679896427
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date2010-03-09
Last Update Date2010-03-09
Business Address
Mr. MARK A. LAFORME IDC
216 BUNKER CT
JACKSONVILLE, NC 28540-9306
Phone number: 703-944-4629
Mailing Address
Mr. MARK A. LAFORME IDC
216 BUNKER CT
JACKSONVILLE, NC 28540-9306
Phone number: 703-944-4629
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