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1770014193
SAM MARK
ALEXANDRIA, VA
NPI
1770014193
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Former Name
OI WING MARK
Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
213E00000X Podiatrist
(Licence: VA 0103301337)
Enumeration Date
2017-03-27
Last Update Date
2023-10-02
Business Address
SAM MARK D.P.M.
4660 KENMORE AVE STE 608
ALEXANDRIA, VA 22304-1306
Phone number: 703-578-4161
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Mailing Address
SAM MARK D.P.M.
224D CORNWALL ST NW STE 403
LEESBURG, VA 20176-2704
Phone number: 703-737-6001
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