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1023449261
BRYAN J NEWCOMB
FORT MYERS, FL
NPI
1023449261
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: FL PA9107631)
Enumeration Date
2013-12-12
Last Update Date
2021-03-29
Business Address
BRYAN J NEWCOMB PA
2780 CLEVELAND AVE #702
FORT MYERS, FL 33901-5857
Phone number: 239-343-3474
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Mailing Address
BRYAN J NEWCOMB PA
PO BOX 2147
FORT MYERS, FL 33902-2147
Phone number: 239-343-3474
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