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1871095893
MARK J BUCCI
ELIZABETH CITY, NC
NPI
1871095893
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
224P00000X Prosthetist
Additional Taxonomies
222Z00000X Orthotist
(Licence: CO005782)
Enumeration Date
2018-03-06
Last Update Date
2019-11-08
Business Address
Mr. MARK J BUCCI C.P.O.
106 MEDICAL DR
ELIZABETH CITY, NC 27909-3361
Phone number: 252-338-3002
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Mailing Address
Mr. MARK J BUCCI C.P.O.
106 MEDICAL DR
ELIZABETH CITY, NC 27909-3361
Phone number: 252-338-3002
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