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1154395218
GREGORY CARL WYNN
JACKSONVILLE, FL
NPI
1154395218
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
(Licence: FL ME54066)
Enumeration Date
2006-02-15
Last Update Date
2008-03-04
Business Address
Dr. GREGORY CARL WYNN M.D.
655 W 8TH ST UFJP RADIOLOGY DEPARTMENT
JACKSONVILLE, FL 32209-6511
Phone number: 904-244-4782
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Mailing Address
Dr. GREGORY CARL WYNN M.D.
PO BOX 44008 UFJP PROVIDER ENROLLMENT
JACKSONVILLE, FL 32231-4008
Phone number:
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