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Individual

MR. MARK MYDAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OTR/L

Contact information

Practice address
544 MIDWOOD CT, BELLINGHAM, WA 98229-7102
(360) 595-8427
Mailing address
544 MIDWOOD CT, BELLINGHAM, WA 98229-7102
(360) 595-8427

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
OT 60084951
WA

Other

Enumeration date
08/20/2015
Last updated
08/20/2015
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