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Individual
MR. MARK BRADLEY SKINNER
Active
Individual
MR. MARK BRADLEY SKINNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CNP
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
I10219
OH
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
COA.15326.NP
OH
Other
Enumeration date
10/04/2006
Last updated
11/15/2013
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