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Individual

MR. MARC D LEVINE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RPT

Contact information

Practice address
23356 TIMBERLANE DR, VALENCIA, CA 91354-1450
(661) 513-9317
(661) 513-9348
Mailing address
23356 TIMBERLANE DR, VALENCIA, CA 91354-1450
(661) 513-9317
(661) 513-9348

Taxonomy

Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
PT 16807
CA

Other

Enumeration date
03/14/2007
Last updated
07/08/2007
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