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Individual

DUANE DAVID WOOLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
1600 SW ARCHER RD, BOX 100371, GAINESVILLE, FL 32610-3001
(352) 265-0301
Mailing address
1600 SW ARCHER RD, BOX 100371, GAINESVILLE, FL 32610-3001
(352) 265-0301

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA91021492
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
018388500
FL
Enumeration date
06/30/2005
Last updated
11/15/2016
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