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1255703252
MARK HASENAUER
SEBASTIAN, FL
NPI
1255703252
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: FL PA 9109153)
Enumeration Date
2015-10-29
Last Update Date
2016-08-25
Business Address
-- MARK HASENAUER PA
8701 N US HIGHWAY 1
SEBASTIAN, FL 32958-7524
Phone number: 772-228-8480
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Mailing Address
-- MARK HASENAUER PA
8701 N US HIGHWAY 1
SEBASTIAN, FL 32958-7524
Phone number:
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