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1346744794
TIMOTHY BAYNARD BRISTOL LEGARE
ORLANDO, FL
NPI
1346744794
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2018-03-21
Last Update Date
2018-03-21
Business Address
TIMOTHY BAYNARD BRISTOL LEGARE MD
3038 RODRICK CIR
ORLANDO, FL 32824-4284
Phone number: 678-451-0202
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Mailing Address
TIMOTHY BAYNARD BRISTOL LEGARE MD
3038 RODRICK CIR
ORLANDO, FL 32824-4284
Phone number:
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