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1497291298
CHARLES CAMPOSANO
ORMOND BEACH, FL
NPI
1497291298
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: FL PA9110117)
Enumeration Date
2017-01-17
Last Update Date
2017-01-17
Business Address
-- CHARLES CAMPOSANO
325 CLYDE MORRIS BLVD #340
ORMOND BEACH, FL 32174-8178
Phone number: 386-615-8971
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Mailing Address
-- CHARLES CAMPOSANO
325 CLYDE MORRIS BLVD SUITE 340
ORMOND BEACH, FL 32174-8178
Phone number:
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