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1053803387
SAMANTHA MARIE KANUCK
MANGONIA PARK, FL
NPI
1053803387
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: GA 8782)
Enumeration Date
2018-06-01
Last Update Date
2021-11-11
Business Address
SAMANTHA MARIE KANUCK PA-C
927 45TH ST STE 101
MANGONIA PARK, FL 33407-2450
Phone number: 561-848-5579
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Mailing Address
SAMANTHA MARIE KANUCK PA-C
927 45TH ST STE 101
MANGONIA PARK, FL 33407-2450
Phone number: 561-848-5579
Copy
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