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1649440306
DAVID WAYNE CLENDENIN
MELBOURNE, FL
NPI
1649440306
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: FL PA9101228)
Enumeration Date
2008-03-08
Last Update Date
2008-03-08
Business Address
-- DAVID WAYNE CLENDENIN Physician assistant
1403 HIGHLAND AVE
MELBOURNE, FL 32935-6518
Phone number: 321-751-1414
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Mailing Address
-- DAVID WAYNE CLENDENIN Physician assistant
1403 HIGHLAND AVE
MELBOURNE, FL 32935-6518
Phone number: 321-751-1414
Copy
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