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1992891022
MARK R OFENLOCH
DAYTON, TN
NPI
1992891022
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: TN P0000001005)
Enumeration Date
2006-10-05
Last Update Date
2007-07-08
Business Address
-- MARK R OFENLOCH Ph.D
1273 DAYTON MOUNTAIN HWY
DAYTON, TN 37321-2816
Phone number: 423-570-1900
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Mailing Address
-- MARK R OFENLOCH Ph.D
PO BOX 307
DAYTON, TN 37321-0307
Phone number: 423-570-1900
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