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Individual

DR. MARK DATUIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
AU.D.

Contact information

Practice address
26302 LA PAZ RD STE 107, MISSION VIEJO, CA 92691-5327
(949) 855-7898
Mailing address
3734 SEPULVEDA BLVD, TORRANCE, CA 90505-2513
(310) 803-9496

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AU3353
CA

Other

Enumeration date
07/28/2020
Last updated
07/31/2020
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