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1679896427
MARK A. LAFORME
JACKSONVILLE, NC
NPI
1679896427
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date
2010-03-09
Last Update Date
2010-03-09
Business Address
Mr. MARK A. LAFORME IDC
216 BUNKER CT
JACKSONVILLE, NC 28540-9306
Phone number: 703-944-4629
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Mailing Address
Mr. MARK A. LAFORME IDC
216 BUNKER CT
JACKSONVILLE, NC 28540-9306
Phone number: 703-944-4629
Copy
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