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Individual

MR. MARK ANTHONY LOFTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
3496 BOXDALE ST, MEMPHIS, TN 38118-5402
(901) 360-1041
Mailing address
3496 BOXDALE ST, MEMPHIS, TN 38118-5402
(901) 360-1041

Taxonomy

Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
088347561
TN

Other

Enumeration date
08/27/2009
Last updated
08/27/2009
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