Individual
MARK MAGRINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
IDHS
Contact information
Practice address
CG-1122 USCG HQ COMDT, 2100 2ND ST SW, WASHINGTON, DC 20593-0001
(202) 267-0801
Mailing address
CG-1122 USCG HQ COMDT, 2100 2ND ST SW, WASHINGTON, DC 20593-0001
Taxonomy
Speciality
Code
Description
License number
State
1710I1003X
Independent Duty Medical Technicians
Primary
—
—
Other
Enumeration date
09/25/2006
Last updated
07/08/2007
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