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1053443796
KIMBERLY ANNE CHANNELS
TAMPA, FL
NPI
1053443796
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: FL PA 3270)
Enumeration Date
2007-03-09
Last Update Date
2018-11-13
Business Address
KIMBERLY ANNE CHANNELS PA
15320 AMBERLY DR SUITE, A
TAMPA, FL 33647-1647
Phone number: 813-977-0733
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Mailing Address
KIMBERLY ANNE CHANNELS PA
15320 AMBERLY DR STE A
TAMPA, FL 33647-1647
Phone number: 813-977-2090
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