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1063796100
JENNA RAE TEW
TAMPA, FL
NPI
1063796100
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: FL PA9106196)
Enumeration Date
2011-10-07
Last Update Date
2012-06-27
Business Address
-- JENNA RAE TEW PA-C
12902 USF MAGNOLIA DR MCC FA
TAMPA, FL 33612-9416
Phone number: 813-745-2710
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Mailing Address
-- JENNA RAE TEW PA-C
808 N FRANKLIN ST UNIT 3010
TAMPA, FL 33602-3859
Phone number: 813-478-3706
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