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1093945198
BRYAN MICHAEL CLARKE
PENSACOLA, FL
NPI
1093945198
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date
2009-07-23
Last Update Date
2018-05-25
Business Address
BRYAN MICHAEL CLARKE IDC
6000 W HIGHWAY 98
PENSACOLA, FL 32512
Phone number: 850-505-6601
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Mailing Address
BRYAN MICHAEL CLARKE IDC
6000 W HIGHWAY 98
PENSACOLA, FL 32512-0001
Phone number: 850-505-6601
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