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Mark Alan Bourne
Home Modifications Contractor in Florence, Oregon
NPI 1457720450

Mark Alan Bourne is a Home Modifications Contractor based in Florence, OR and is specialized in Home Modifications. Mark Alan Bourne practices in Florence, OR. The NPI Number for Mark Alan Bourne is 1457720450 and holds a License No. (Oregon).

The current practice location address for Mark Alan Bourne is 625 Highway 101 # 168, Florence, OR and can be reached out via phone at 503-789-4374.

Location: 625 Highway 101 # 168, Florence, OR, 97439-7634
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1457720450
Provider Name
Mark Alan Bourne
Credential
Provider Entity Type
Individual
Gender
Male
Address
625 Highway 101 # 168, Florence, OR, 97439-7634
Phone Number
503-789-4374
Fax Number
Provider Enumeration Date
09/20/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
625 Highway 101 # 168
City
Florence
State
Oregon
Zip
97439-7634
Phone Number
503-789-4374
Fax Number
person
Provider Business Mailing Address Details
Address
625 Highway 101 # 168
City
Florence
State
Oregon
Zip
97439-7634
Phone Number
503-789-4374
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Contractor
Speciality
Home Modifications
Taxonomy
171WH0202X
License No.
()
Definition
Definition to come...
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