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1316088107
CHARLES MARK HOMRA
JACKSONVILLE, FL
NPI
1316088107
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
208800000X Urology
(Licence: FL ME72122)
Enumeration Date
2007-02-12
Last Update Date
2008-05-08
Business Address
CHARLES MARK HOMRA MD
710 LOMAX ST
JACKSONVILLE, FL 32204-4004
Phone number: 904-355-6583
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Mailing Address
CHARLES MARK HOMRA MD
710 LOMAX ST
JACKSONVILLE, FL 32204-4004
Phone number: 904-355-6583
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