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1639103021
GAINES CHARLES MARTIN
ORANGE PARK, FL
NPI
1639103021
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: FL ME81545)
Enumeration Date
2006-07-10
Last Update Date
2013-03-15
Business Address
Dr. GAINES CHARLES MARTIN MD
1409 KINGSLEY AVE, SUITE 9G
ORANGE PARK, FL 32073
Phone number: 904-637-0007
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Mailing Address
Dr. GAINES CHARLES MARTIN MD
1409 KINGSLEY AVE, SUITE 9G
ORANGE PARK, FL 32073
Phone number: 904-637-0007
Copy
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