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1184057077
MICHAEL SHANE VOGEL
JACKSONVILLE, FL
NPI
1184057077
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date
2013-08-14
Last Update Date
2020-06-11
Business Address
Mr. MICHAEL SHANE VOGEL IDC
2480 BON HOMMES RICHARD STREET
JACKSONVILLE, FL 32227
Phone number: 803-579-0540
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Mailing Address
Mr. MICHAEL SHANE VOGEL IDC
651 HOLLIS LAKES RD
ROCK HILL, SC 29732-9316
Phone number: 803-487-8004
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