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Individual
MARK WARREN NELSON
Active
Individual
MARK WARREN NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
34.009868
OH
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
58.002167
OH
Other
Enumeration date
08/12/2008
Last updated
05/17/2011
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