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1144053364
MOIRA GRACE ANTALEK
ST PETERSBURG, FL
NPI
1144053364
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
Enumeration Date
2024-08-22
Last Update Date
2024-08-22
Business Address
MOIRA GRACE ANTALEK
501 6TH AVE S
ST PETERSBURG, FL 33701-4634
Phone number: 727-767-3333
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Mailing Address
MOIRA GRACE ANTALEK
501 6TH AVE S
ST PETERSBURG, FL 33701-4634
Phone number:
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