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Individual
MARK DAVID KINNER
Active
Individual
MARK DAVID KINNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
032567
NY
183500000X
Pharmacist
Primary
RP029528L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00358498
—
NY
05
—
1007308150114
—
PA
Enumeration date
12/03/2007
Last updated
12/03/2007
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