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1295833382
RICHARD ANTHONY MEDEIROS
LAKE CITY, FL
NPI
1295833382
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LX0106X Nurse Practitioner, Occupational Health
(Licence: FL 636592)
Enumeration Date
2006-09-20
Last Update Date
2007-07-08
Business Address
Mr. RICHARD ANTHONY MEDEIROS ARNP
619 S MARION AVE
LAKE CITY, FL 32025-5808
Phone number: 386-755-3016
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Mailing Address
Mr. RICHARD ANTHONY MEDEIROS ARNP
420 SW LOCKHEED LN
LAKE CITY, FL 32025-1643
Phone number: 386-752-6557
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