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Individual

MR. MARK BEAM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LMBT

Contact information

Practice address
6596 ROBERTA RD, SUITE B, HARRISBURG, NC 28075-9400
(980) 521-6427
Mailing address
801 BOSTWOOD LN, CONCORD, NC 28025-6800
(980) 521-6427

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
13656
NC

Other

Enumeration date
02/04/2016
Last updated
02/04/2016
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