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1457442964
KENNETH RICHARD WASSON
TALLAHASSEE, FL
NPI
1457442964
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: FL ME18647)
Enumeration Date
2006-09-28
Last Update Date
2007-07-08
Business Address
-- KENNETH RICHARD WASSON M.D.
1607 SAINT JAMES CT TOPC
TALLAHASSEE, FL 32308-5352
Phone number: 850-878-0191
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Mailing Address
-- KENNETH RICHARD WASSON M.D.
133 OAK ST APT 19
TALLAHASSEE, FL 32301-2674
Phone number: 850-561-1565
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