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1528529245
EDWARD JOSEPH WASELESKI
BROOKSVILLE, FL
NPI
1528529245
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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
2019-03-26
Last Update Date
2019-03-26
Business Address
EDWARD JOSEPH WASELESKI DO
11375 CORTEZ BLVD. STATE ROAD 50
BROOKSVILLE, FL 34613
Phone number: 352-592-2755
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Mailing Address
EDWARD JOSEPH WASELESKI DO
11375 CORTEZ BLVD STATE ROAD 50
BROOKSVILLE, FL 34613-5409
Phone number: 352-579-2755
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