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1881610376
MARK EDWARD EASTHAM
SAN JOSE, CA
NPI
1881610376
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
(Licence: CA G65379)
Enumeration Date
2006-07-15
Last Update Date
2007-07-08
Business Address
Dr. MARK EDWARD EASTHAM M.D.
2505 SAMARITAN DR SUITE 605
SAN JOSE, CA 95124-4006
Phone number: 408-358-0133
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Mailing Address
Dr. MARK EDWARD EASTHAM M.D.
2505 SAMARITAN DR SUITE 605
SAN JOSE, CA 95124-4006
Phone number: 408-358-0133
Copy
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