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1295024065
MICHAEL ALLEN ICENBERG
GAINESVILLE, FL
NPI
1295024065
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: FL 5163299)
Enumeration Date
2011-04-01
Last Update Date
2011-04-01
Business Address
-- MICHAEL ALLEN ICENBERG
4300 SW 13TH ST
GAINESVILLE, FL 32608-4006
Phone number: 352-374-5600
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Mailing Address
-- MICHAEL ALLEN ICENBERG
4300 SW 13TH ST
GAINESVILLE, FL 32608-4006
Phone number: 352-374-5600
Copy
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