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Individual
MELISSA M MARKS
Active
Individual
MELISSA M MARKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT004333
PA
Other
Enumeration date
05/21/2009
Last updated
05/21/2009
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