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1821011024
MARK E FOGLESONG
SALEM, OR
NPI
1821011024
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207X00000X Orthopaedic Surgery
(Licence: OR MD19910)
Enumeration Date
2006-07-26
Last Update Date
2014-02-13
Business Address
MARK E FOGLESONG MD
1600 STATE STREET
SALEM, OR 97301
Phone number: 503-540-6300
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Mailing Address
MARK E FOGLESONG MD
1600 STATE STREET
SALEM, OR 97301
Phone number: 503-540-6300
Copy
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