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Individual
MARK A BOOKSPAN
Active
Individual
MARK A BOOKSPAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
G36429
CA
207RR0500X
Rheumatology Physician
G36429
CA
Other
Enumeration date
10/19/2006
Last updated
08/13/2018
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