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1730238965
MARK INES
RACINE, WI
NPI
1730238965
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Other Name
MARK SANTA INES
Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: WI 48513)
Enumeration Date
2007-01-09
Last Update Date
2007-07-08
Business Address
-- MARK INES MD
8348 WASHINGTON AVE
RACINE, WI 53406-3733
Phone number: 262-884-4000
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Mailing Address
-- MARK INES MD
8106 WHITETAIL DR
RACINE, WI 53406-1746
Phone number: 262-886-1687
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