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Individual
MARCUS K SHOWALTER
Active
Individual
MARCUS K SHOWALTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
359
MS
Other
Enumeration date
03/25/2010
Last updated
03/25/2010
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