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Individual

JOHN MARKS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1408 DESMOND ST, KINSTON, NC 28501-5812
(252) 286-8485
Mailing address
1907 TOWER HILL RD, KINSTON, NC 28501-8253

Taxonomy

Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
29714737
NC

Other

Enumeration date
08/29/2022
Last updated
08/29/2022
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