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Individual
MARK EVANS
Active
Individual
MARK EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
22 591919
NY
163W00000X
Registered Nurse
Primary
RN585642
PA
Other
Enumeration date
03/05/2008
Last updated
03/05/2008
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