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1497021059
RALPH DAVID PRIDDY
ST AUGUSTINE, FL
NPI
1497021059
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: FL PA9106486)
Enumeration Date
2012-03-28
Last Update Date
2012-03-28
Business Address
Mr. RALPH DAVID PRIDDY PA-C
2305 STATE ROAD 207
ST AUGUSTINE, FL 32086-9329
Phone number: 904-827-8610
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Mailing Address
Mr. RALPH DAVID PRIDDY PA-C
3612 CITARA CT
ST AUGUSTINE, FL 32092-4779
Phone number: 904-814-6703
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