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1912930595
DIANE W CHUNG MD PA
JACKSONVILLE, FL
NPI
1912930595
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Entity Type
Organization
Authorized Contact
DIANE W CHUNG
President
904-421-2119
Organization Subpart ?
No
Primary Taxonomy
207L00000X Anesthesiology
Enumeration Date
2006-07-08
Last Update Date
2007-09-24
Business Address
DIANE W CHUNG MD PA
3625 UNIVERSITY BLVD S
JACKSONVILLE, FL 32216-4207
Phone number: 904-421-2119
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Mailing Address
DIANE W CHUNG MD PA
PO BOX 862056
ORLANDO, FL 32886-2056
Phone number:
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