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1033815113
LAUREN ANN FAZENBAKER
VENICE, FL
NPI
1033815113
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: FL PA9117443)
Enumeration Date
2023-02-01
Last Update Date
2023-05-25
Business Address
LAUREN ANN FAZENBAKER PA-C
19790 WELLEN PARK BLVD SUITE 201B
VENICE, FL 34293
Phone number: 941-777-7771
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Mailing Address
LAUREN ANN FAZENBAKER PA-C
19790 WELLEN PK BLVD SUITE 201B
VENICE, FL 34293
Phone number: 941-777-7771
Copy
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