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1033219514
SANDRA J DISTRETTI
ORLANDO, FL
NPI
1033219514
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: FL PA9101699)
Enumeration Date
2006-09-24
Last Update Date
2007-07-08
Business Address
-- SANDRA J DISTRETTI PA
1414 S ORANGE AVE
ORLANDO, FL 32806-2134
Phone number: 407-841-5111
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Mailing Address
-- SANDRA J DISTRETTI PA
PO BOX 628296
ORLANDO, FL 32862-8296
Phone number: 407-741-9418
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