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1962798843
MARK SEPEHR SAMII
LAKE CHARLES, LA
NPI
1962798843
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: PA MT200512)
Enumeration Date
2011-06-20
Last Update Date
2014-10-02
Business Address
Dr. MARK SEPEHR SAMII M.D.
2750 ASTER ST
LAKE CHARLES, LA 70601-8824
Phone number: 337-480-8900
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Mailing Address
Dr. MARK SEPEHR SAMII M.D.
PO BOX 122539 DEPT 2539
DALLAS, TX 75312-2539
Phone number: 337-480-8900
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