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1548552201
WASIM S MOHAMED
JACKSONVILLE, FL
NPI
1548552201
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date
2011-05-12
Last Update Date
2011-05-12
Business Address
Mr. WASIM S MOHAMED IDC
2104 MASSEY AVE
JACKSONVILLE, FL 32228-0148
Phone number: 904-270-4220
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Mailing Address
Mr. WASIM S MOHAMED IDC
PO BOX 280148
JACKSONVILLE, FL 32228-0148
Phone number: 904-270-4220
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