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Individual
MARK VINCENT MINGRONE
Active
Individual
MARK VINCENT MINGRONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
8284T
CA
Other
Enumeration date
08/30/2005
Last updated
02/13/2008
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