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1750385415
MARK WALLACE HINMAN
LONGMONT, CO
NPI
1750385415
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: CO 28820)
Enumeration Date
2005-06-10
Last Update Date
2013-01-19
Business Address
Dr. MARK WALLACE HINMAN M.D.
1350 TULIP ST
LONGMONT, CO 80501-3140
Phone number: 303-776-6872
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Mailing Address
Dr. MARK WALLACE HINMAN M.D.
1350 TULIP ST
LONGMONT, CO 80501-3140
Phone number: 303-776-6872
Copy
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