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1992742142
JOSE M CONCHA
ST AUGUSTINE, FL
NPI
1992742142
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
213E00000X Podiatrist
(Licence: FL po2712)
Enumeration Date
2006-05-31
Last Update Date
2010-01-27
Business Address
Dr. JOSE M CONCHA DPM
200 SOUTHPARK BLVD SUITE 208
ST AUGUSTINE, FL 32086-3129
Phone number: 904-826-1900
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Mailing Address
Dr. JOSE M CONCHA DPM
200 SOUTHPARK BLVD SUITE 208
ST AUGUSTINE, FL 32086-3129
Phone number: 904-826-1900
Copy
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