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Individual
MR. MARK WESSEL
Active
Individual
MR. MARK WESSEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
25160
AK
163W00000X
Registered Nurse
Primary
52039
AZ
Other
Enumeration date
09/27/2007
Last updated
09/27/2007
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