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Individual
MR. DAVID RANDALL MARQUIS
Active
Individual
MR. DAVID RANDALL MARQUIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COUNSELOR
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
360068AN
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
360068AN
MEDICAL
CA
Enumeration date
04/21/2008
Last updated
04/21/2008
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