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1841730496
MARK MAHAN
DANVILLE, PA
NPI
1841730496
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208600000X Surgery
(Licence: PA OS022147)
Additional Taxonomies
208600000X Surgery
(Licence: PA OT017673)
Enumeration Date
2017-03-01
Last Update Date
2022-07-27
Business Address
MARK MAHAN DO
100 N ACADEMY AVE
DANVILLE, PA 17822-9800
Phone number: 570-271-6361
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Mailing Address
MARK MAHAN DO
100 N ACADEMY AVE
DANVILLE, PA 17822-4903
Phone number: 570-271-6144
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