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1568153773
SAMUEL ANTHONY WONSANG
CLEARWATER, FL
NPI
1568153773
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date
2023-05-18
Last Update Date
2023-05-18
Business Address
SAMUEL ANTHONY WONSANG IDHS
15100 RESCUE WAY
CLEARWATER, FL 33762-3502
Phone number: 727-535-1437
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Mailing Address
SAMUEL ANTHONY WONSANG IDHS
15100 RESCUE WAY
CLEARWATER, FL 33762-3502
Phone number: 727-535-1437
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