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1316919236
OWEN EDMOND MCDONOUGH
JACKSONVILLE, FL
NPI
1316919236
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: FL PA9103012)
Enumeration Date
2006-02-03
Last Update Date
2010-11-30
Business Address
Mr. OWEN EDMOND MCDONOUGH PA
9826 SAN JOSE BLVD
JACKSONVILLE, FL 32257-5438
Phone number: 904-262-9444
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Mailing Address
Mr. OWEN EDMOND MCDONOUGH PA
2908 CIRCLE RIDGE DR
ORANGE PARK, FL 32065-5760
Phone number: 904-993-7726
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