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1871678953
MARK POWELL
BURLINGAME, CA
NPI
1871678953
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207R00000X Internal Medicine
(Licence: CA g35190)
Enumeration Date
2006-10-26
Last Update Date
2007-07-08
Business Address
-- MARK POWELL m.d.
1820 OGDEN DR SECOND FLOOR
BURLINGAME, CA 94010-5384
Phone number: 650-697-7202
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Mailing Address
-- MARK POWELL m.d.
100 VISTA GRANDE
GREENBRAE, CA 94904-1135
Phone number: 415-461-3320
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