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1871686352
PHILLIP ALEX WIMPELBERG
ST AUGUSTINE, FL
NPI
1871686352
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: FL PA9101929)
Enumeration Date
2006-10-02
Last Update Date
2013-01-31
Business Address
-- PHILLIP ALEX WIMPELBERG PA
2720 US HIGHWAY 1 S STE B
ST AUGUSTINE, FL 32086-6301
Phone number: 904-827-0078
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Mailing Address
-- PHILLIP ALEX WIMPELBERG PA
2720 US HIGHWAY 1 S STE B
ST AUGUSTINE, FL 32086-6301
Phone number: 904-827-0078
Copy
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