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Individual

MARK N CHASE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
153 E 13TH ST APT 264, ERIE, PA 16503-1035
(814) 351-3045
Mailing address
153 E 13TH ST APT 264, ERIE, PA 16503-1035
(814) 351-3045

Taxonomy

Speciality
Code
Description
License number
State
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
Primary
PA

Other

Enumeration date
12/15/2022
Last updated
12/15/2022
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