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Individual
MR. MARK A WATSON
Active
Individual
MR. MARK A WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPO
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
ORT0000000069
TN
224P00000X
Prosthetist
Primary
PRO0000000058
TN
Other
Enumeration date
02/20/2013
Last updated
02/20/2013
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