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1245777929
JUSTIN D WASDIN
PORT ST LUCIE, FL
NPI
1245777929
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: FL PA9110163)
Enumeration Date
2017-01-19
Last Update Date
2020-10-14
Business Address
JUSTIN D WASDIN PA-C
10080 SW INNOVATION WAY STE 102
PORT ST LUCIE, FL 34987-2129
Phone number: 772-344-3811
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Mailing Address
JUSTIN D WASDIN PA-C
PO BOX 417
STUART, FL 34995-0417
Phone number: 772-223-2832
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