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1720083876
BASCOM CLARENCE RANEY
PENSACOLA, FL
NPI
1720083876
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: FL ME0051114)
Enumeration Date
2005-06-16
Last Update Date
2014-05-19
Business Address
-- BASCOM CLARENCE RANEY
9400 UNIVERSITY PKWY SUITE 409
PENSACOLA, FL 32514-5752
Phone number: 850-208-6160
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Mailing Address
-- BASCOM CLARENCE RANEY
245 W AIRPORT BLVD
PENSACOLA, FL 32505-2254
Phone number:
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