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1639579089
MATTHEW KENT PRUSINSKI
JACKSONVILLE, FL
NPI
1639579089
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367H00000X Anesthesiologist Assistant
(Licence: FL AA227)
Enumeration Date
2014-09-03
Last Update Date
2014-09-03
Business Address
Mr. MATTHEW KENT PRUSINSKI AA-C
820 PRUDENTIAL DR SUITE 606
JACKSONVILLE, FL 32207-8210
Phone number: 904-398-3356
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Mailing Address
Mr. MATTHEW KENT PRUSINSKI AA-C
13525 BARTRAM PARK BLVD UNIT #135
JACKSONVILLE, FL 32258-5241
Phone number: 440-773-7630
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