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1932136025
KENNETH M VANOSDOL
JACKSONVILLE, FL
NPI
1932136025
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: FL PA1027204)
Enumeration Date
2006-06-26
Last Update Date
2007-10-22
Business Address
-- KENNETH M VANOSDOL PA
1800 BARRS ST
JACKSONVILLE, FL 32204-4704
Phone number: 904-303-8730
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Mailing Address
-- KENNETH M VANOSDOL PA
PO BOX 863026
ORLANDO, FL 32886-3026
Phone number: 904-346-5426
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