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1013298363
DANIEL RAY PRENTICE
PANAMA CITY, FL
NPI
1013298363
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: FL PA9106119)
Enumeration Date
2011-08-31
Last Update Date
2021-05-06
Business Address
Mr. DANIEL RAY PRENTICE PA
201 FOREST PARK CIR
PANAMA CITY, FL 32405-4916
Phone number: 850-248-7777
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Mailing Address
Mr. DANIEL RAY PRENTICE PA
7301 WEST BLVD STE A1
BOARDMAN, OH 44512-5268
Phone number: 330-758-2775
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