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1114945284
STEPHEN MUDRA
GAINESVILLE, FL
NPI
1114945284
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: FL ME40369)
Enumeration Date
2006-07-17
Last Update Date
2007-07-08
Business Address
-- STEPHEN MUDRA
1130 NW 64TH TER
GAINESVILLE, FL 32605-4219
Phone number: 352-333-5242
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Mailing Address
-- STEPHEN MUDRA
1130 NW 64TH TER
GAINESVILLE, FL 32605-4219
Phone number: 352-333-5242
Copy
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