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1861580839
JOHN PRAIRIE
DAYTONA BEACH, FL
NPI
1861580839
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: FL ME55364)
Enumeration Date
2006-10-11
Last Update Date
2010-04-05
Business Address
Dr. JOHN PRAIRIE MD
303 N CLYDE MORRIS BLVD
DAYTONA BEACH, FL 32114-2709
Phone number: 386-254-2285
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Mailing Address
Dr. JOHN PRAIRIE MD
303 N CLYDE MORRIS BLVD
DAYTONA BEACH, FL 32114-2709
Phone number: 386-254-2285
Copy
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