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1619926169
GARY JAMES
MELBOURNE, FL
NPI
1619926169
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: FL PA9110289)
Enumeration Date
2006-05-10
Last Update Date
2018-01-03
Business Address
Mr. GARY JAMES RPA
1350 HICKORY ST STE 101
MELBOURNE, FL 32901-3224
Phone number: 321-434-1401
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Mailing Address
Mr. GARY JAMES RPA
3300 S FISKE BLVD
ROCKLEDGE, FL 32955-4306
Phone number: 321-434-1981
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