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1215126586
AMELIA EAR NOSE & THROAT PC
FERNANDINA, FL
NPI
1215126586
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Entity Type
Organization
Authorized Contact
WILLIAM BAUER
Owner
904-321-1417
Organization Subpart ?
No
Primary Taxonomy
207Y00000X Otolaryngology
(Licence: FL ME86839)
Enumeration Date
2007-10-23
Last Update Date
2007-10-24
Business Address
AMELIA EAR NOSE & THROAT PC
1340 S 18TH ST SUITE 102
FERNANDINA, FL 32034-4733
Phone number: 904-321-1417
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Mailing Address
AMELIA EAR NOSE & THROAT PC
1340 S 18TH ST SUITE 102
FERNANDINA, FL 32034-4733
Phone number: 904-321-1417
Copy
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WILLIAM BAUER