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MR. MARK W PAPE

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
312 WESTOVER RD, SUITE 7, LACKLAND A F B, TX 78236-0121
(210) 925-7188
(210) 925-0199
Mailing address
1422 MACKENZIE ST, SAN ANGELO, TX 76901-4632
(325) 653-0521
(325) 942-2548

Taxonomy

Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
Primary
1027472
TX

Other

Enumeration date
02/07/2006
Last updated
07/08/2007
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