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1124023445
JOHN MICHAEL TIERNEY
JACKSONVILLE, FL
NPI
1124023445
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: FL PA9102882)
Enumeration Date
2005-06-14
Last Update Date
2015-11-19
Business Address
-- JOHN MICHAEL TIERNEY PA
14540 OLD SAINT AUGUSTINE RD SUITE 2201
JACKSONVILLE, FL 32258-7418
Phone number: 904-880-1260
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Mailing Address
-- JOHN MICHAEL TIERNEY PA
1325 SAN MARCO BLVD STE 200
JACKSONVILLE, FL 32207-8566
Phone number: 904-346-3465
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