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1407616147
JONATHAN PAUL VAN NAME
GAINESVILLE, FL
NPI
1407616147
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2024-03-20
Last Update Date
2024-03-20
Business Address
Dr. JONATHAN PAUL VAN NAME MD
1600 SW ARCHER RD FL 32610
GAINESVILLE, FL 32610-3003
Phone number: 352-273-9914
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Mailing Address
Dr. JONATHAN PAUL VAN NAME MD
1600 SW ARCHER RD FL 32610
GAINESVILLE, FL 32610-3003
Phone number:
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