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1629040043
JACK M MATHENY
PALATKA, FL
NPI
1629040043
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: FL ME0048571)
Enumeration Date
2006-02-02
Last Update Date
2019-04-02
Business Address
JACK M MATHENY
700 ZEAGLER DR STE 10
PALATKA, FL 32177-3826
Phone number: 386-328-6746
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Mailing Address
JACK M MATHENY
700 ZEAGLER DR STE 10
PALATKA, FL 32177-3826
Phone number: 386-328-6746
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