1700983897

Everything you always wanted to know about THOMPSON PAIGE NATALEE PA but were afraid to ask.

THOMPSON PAIGE NATALEE PA

You can also download the this 1700983897 data report as csv | excel | json | xml
Provider Last Name Provider Middle Name Provider First Name Provider Credential
THOMPSON PAIGE NATALEE PA
Gender:
Female
Enumeration date:
2006-09-20
Last update date:
2007-07-19
Current as of:
Is sole proprietor?:
No
Is organization subpart?:
No
In PECOS?:
Yes
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Identifiers

identifier description issuer state
970007102 Other RAILROAD MEDICARE none

Taxonomies

Taxonomy State License Number Primary?
363A00000X Physician Assistant FL PA0003036 Y

Phone Numbers

Type Number
Practice Location Address Telephone Number 9043087300
Mailing Address Fax Number 9043460113
Practice Location Address Fax Number 9043460113
Mailing Address Telephone Number 9043465426

Addresses

Type Address City State Postal Country
Mailing Address PO BOX 863026 ORLANDO FL 32886 FL
Practice Location Address 1800 BARRS ST JACKSONVILLE FL 0 FL

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