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1306072863
MICHAEL WAYNE DELUCIA
JACKSONVILLE, FL
NPI
1306072863
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: FL DN18640)
Enumeration Date
2009-06-10
Last Update Date
2009-06-10
Business Address
Dr. MICHAEL WAYNE DELUCIA DMD
14185 BEACH BLVD SUITE 2
JACKSONVILLE, FL 32250-1582
Phone number: 904-223-9999
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Mailing Address
Dr. MICHAEL WAYNE DELUCIA DMD
14185 BEACH BLVD SUITE 2
JACKSONVILLE, FL 32250-1582
Phone number: 904-223-9999
Copy
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