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1972550333
KENNETH MARK DEGRAAF
HUDSON, FL
NPI
1972550333
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: FL ME85861)
Enumeration Date
2006-05-30
Last Update Date
2009-04-16
Business Address
-- KENNETH MARK DEGRAAF MD
14000 FIVAY RD
HUDSON, FL 34667-7103
Phone number: 727-819-2929
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Mailing Address
-- KENNETH MARK DEGRAAF MD
13927 MARGO AVE
HUDSON, FL 34667-1341
Phone number: 941-759-0073
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