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1104933241
DEVON ADAIR BATHURST
BRANDON, FL
NPI
1104933241
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Former Name
DEVON ADAIR COELLNER
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: VA 0110001432)
Enumeration Date
2006-08-24
Last Update Date
2018-03-17
Business Address
Mrs. DEVON ADAIR BATHURST PA-C
BRANDON REGIONAL HOSPITAL 119 OAKFIELD DR.
BRANDON, FL 33511
Phone number: 813-681-5551
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Mailing Address
Mrs. DEVON ADAIR BATHURST PA-C
119 OAKFIELD DR
BRANDON, FL 33511-5779
Phone number: 813-681-5551
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