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1235131053
EDWIN KEENAN HOUSE
BROOKSVILLE, FL
NPI
1235131053
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Primary Taxonomy
207Q00000X Family Medicine
(Licence: FL ME9793)
Enumeration Date
2005-08-11
Last Update Date
2007-07-08
Business Address
EDWIN KEENAN HOUSE M.D.
22163 CROOM RD
BROOKSVILLE, FL 34601-4852
Phone number: 352-796-9241
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Mailing Address
EDWIN KEENAN HOUSE M.D.
22163 CROOM RD
BROOKSVILLE, FL 34601-4852
Phone number: 352-796-9241
Copy
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