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Individual
MARK DAVID HAFERMANN
Active
Individual
MARK DAVID HAFERMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
MD00006018
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2743
INTERNAL ID-MOTOR VEHICLE ID
—
05
—
8265301
—
WA
Enumeration date
10/27/2006
Last updated
07/08/2007
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