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1871683854
MARIANNA PEDIATRIC ASSOCIATES PA
MARIANNA, FL
NPI
1871683854
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Entity Type
Organization
Authorized Contact
DOYLE LON BOSSE
Doctor Owner
850-482-2004
Organization Subpart ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: FL ME57543)
Enumeration Date
2006-10-13
Last Update Date
2008-06-20
Business Address
MARIANNA PEDIATRIC ASSOCIATES PA
4230 HOSPITAL DR STE 102
MARIANNA, FL 32446-1934
Phone number: 850-482-2004
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Mailing Address
MARIANNA PEDIATRIC ASSOCIATES PA
4230 HOSPITAL DR STE 102
MARIANNA, FL 32446-1934
Phone number: 850-482-2004
Copy
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