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1285846311
CLYDE JUNIOR PITCAN
WASHINGTON, DC
NPI
1285846311
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: FL PA9101860)
Enumeration Date
2007-05-03
Last Update Date
2007-07-08
Business Address
MR. CLYDE JUNIOR PITCAN PA-C, MPAS
2401 E STREET NW SA-1 (OFFICE OF MEDICAL SERVICES U.S. DEPT OF STATE)
WASHINGTON, DC 20522-0001
Phone number: 954-630-1114
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Mailing Address
MR. CLYDE JUNIOR PITCAN PA-C, MPAS
5385 RED LEAF CT
OVIEDO, FL 32765-5019
Phone number: 954-630-1114
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