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1144521881
KELLY ANN RIEDL
TAMPA, FL
NPI
1144521881
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: FL pa9105742)
Enumeration Date
2010-11-11
Last Update Date
2013-07-16
Business Address
Mrs. KELLY ANN RIEDL PA-C
3001 N ROCKY POINT DR
TAMPA, FL 33607-5802
Phone number: 813-289-9613
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Mailing Address
Mrs. KELLY ANN RIEDL PA-C
PO BOX 678475
DALLAS, TX 75267-8475
Phone number:
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