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1154775450
STACI IRENE RAGAN SMITH
TAMPA, FL
NPI
1154775450
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: FL PA9109451)
Enumeration Date
2016-04-22
Last Update Date
2016-04-22
Business Address
-- STACI IRENE RAGAN SMITH PA-C
13610 BRUCE B DOWNS BLVD
TAMPA, FL 33613-4650
Phone number: 813-977-2777
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Mailing Address
-- STACI IRENE RAGAN SMITH PA-C
13610 BRUCE B DOWNS BLVD
TAMPA, FL 33613-4650
Phone number: 813-977-2777
Copy
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