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1225057151
BARRY G MCCULLOUGH
ORANGE PARK, FL
NPI
1225057151
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: FL PA1751)
Enumeration Date
2006-07-19
Last Update Date
2009-05-06
Business Address
Mr. BARRY G MCCULLOUGH PA
2140 KINGSLEY AVE STE 1
ORANGE PARK, FL 32073-5129
Phone number: 904-272-7500
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Mailing Address
Mr. BARRY G MCCULLOUGH PA
2140 KINGSLEY AVE STE 1
ORANGE PARK, FL 32073-5129
Phone number: 904-272-7500
Copy
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