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Individual

ANDREW THOMAS WEMLINGER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
IDC

Contact information

Practice address
1061 USS TENNESSEE AVE, KINGS BAY, GA 31547-2601
(847) 651-7276
Mailing address
13952 NATIONS EAGLE LN, JACKSONVILLE, FL 32226-5033

Taxonomy

Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary

Other

Enumeration date
07/24/2017
Last updated
07/24/2017
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