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1912930777
MARK C RUSTEN
PADUCAH, KY
NPI
1912930777
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Y00000X Otolaryngology
(Licence: KY 39450)
Enumeration Date
2006-07-07
Last Update Date
2011-11-17
Business Address
Dr. MARK C RUSTEN MD
2605 KENTUCKY AVE DOB 3, SUITE 601
PADUCAH, KY 42003-3800
Phone number: 270-408-4368
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Mailing Address
Dr. MARK C RUSTEN MD
2605 KENTUCKY AVE DOB 3, SUITE 601
PADUCAH, KY 42003-3800
Phone number: 270-408-4368
Copy
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