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1336567254
BANUELOS MEDICAL CLINIC PLLC
PENSACOLA, FL
NPI
1336567254
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Entity Type
Organization
Authorized Contact
ELIAS I BANUELOS
Owner
850-912-6179
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: FL ME97139)
Enumeration Date
2014-03-29
Last Update Date
2014-09-05
Business Address
BANUELOS MEDICAL CLINIC PLLC
945 W MICHIGAN AVE STE 10C
PENSACOLA, FL 32505-2346
Phone number: 850-912-6179
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Mailing Address
BANUELOS MEDICAL CLINIC PLLC
945 W MICHIGAN AVE STE 10C
PENSACOLA, FL 32505-2345
Phone number: 850-912-6179
Copy
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