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1851795413
MARCO VAN DEN BOSCH
FORT MYERS, FL
NPI
1851795413
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: FL PA9108290)
Enumeration Date
2014-10-10
Last Update Date
2014-11-21
Business Address
-- MARCO VAN DEN BOSCH P.A.
2780 CLEVELAND AVE SUITE 819
FORT MYERS, FL 33901-5817
Phone number: 239-343-3800
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Mailing Address
-- MARCO VAN DEN BOSCH P.A.
PO BOX 2147
FORT MYERS, FL 33902-2147
Phone number: 239-424-1449
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