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1962499293
MARK SEAN MATTINGLY
PHILADELPHIA, PA
NPI
1962499293
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: PA RN560464)
Enumeration Date
2005-10-03
Last Update Date
2014-05-16
Business Address
Mr. MARK SEAN MATTINGLY CRNA
230 N BROAD ST
PHILADELPHIA, PA 19102-1121
Phone number: 215-762-7922
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Mailing Address
Mr. MARK SEAN MATTINGLY CRNA
1500 MARKET ST 24TH FLOOR-WEST TOWER
PHILADELPHIA, PA 19102-2100
Phone number: 215-255-3828
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