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Individual

MARK JOSEPH SANFORD

Active
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Individual

MARK JOSEPH SANFORD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MS, CCC-A

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
AU1138
CA
237600000X
Audiologist-Hearing Aid Fitter
Primary
AU1138
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
171779400
DEPT. OF LABOR
01
AU0011380
UNITED HEALTHCARE
05
AU0011380
CA
01
HA0025060
BLUE SHIELD OF CA
CA
Enumeration date
11/28/2006
Last updated
11/24/2025
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