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1821649591
MARK ENSELMAN
FULLERTON, CA
NPI
1821649591
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2019-09-24
Last Update Date
2019-09-24
Business Address
MARK ENSELMAN PA-S
2575 YORBA LINDA BLVD
FULLERTON, CA 92831-1615
Phone number: 714-449-7400
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Mailing Address
MARK ENSELMAN PA-S
2575 YORBA LINDA BLVD
FULLERTON, CA 92831-1615
Phone number: 714-449-7400
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