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1194775882
JASON NAGEL
MELBOURNE, FL
NPI
1194775882
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: FL PAT9103432)
Enumeration Date
2006-05-11
Last Update Date
2007-07-08
Business Address
JASON NAGEL PA
250 N WICKHAM RD
MELBOURNE, FL 32935-8625
Phone number: 800-476-8646
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Mailing Address
JASON NAGEL PA
PO BOX 552205
TAMPA, FL 33655-0001
Phone number: 800-476-8646
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