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Organization
SEAN NONNEMAKER EXT DO PA
Active
Organization
SEAN NONNEMAKER EXT DO PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAWN BIRD (CRED MANAGER)
(813) 728-5460
Entity
Organization
Contact information
Practice address
250 2ND ST E STE 3B, BRADENTON, FL 34208-1027
(941) 746-4151
(941) 746-4345
Mailing address
250 2ND ST E STE 3B, BRADENTON, FL 34208-1027
(941) 746-4151
(941) 746-4345
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
03/03/2020
Last updated
03/03/2020
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