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1700417920
MARK LAUREL
DALLAS, TX
NPI
1700417920
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: TX student)
Enumeration Date
2020-01-27
Last Update Date
2020-01-27
Business Address
MARK LAUREL
3500 GASTON AVE
DALLAS, TX 75246-2017
Phone number: 214-820-0111
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Mailing Address
MARK LAUREL
411 BROADWAY AVE APT 4421
DALLAS, TX 75212-5286
Phone number:
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