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1154383479
JOHN P MCDONOUGH
JACKSONVILLE, FL
NPI
1154383479
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: FL ARNP3344982)
Enumeration Date
2006-04-03
Last Update Date
2007-09-12
Business Address
Mr. JOHN P MCDONOUGH CRNA
655 W 8TH ST UFJP ANESTHESIA DEPT
JACKSONVILLE, FL 32209-6511
Phone number: 904-244-4195
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Mailing Address
Mr. JOHN P MCDONOUGH CRNA
PO BOX 44008 UFJP PROVIDER ENROLLMENT
JACKSONVILLE, FL 32231-4008
Phone number: 904-244-3199
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