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1164148466
SELENA HOUCK
SANFORD, FL
NPI
1164148466
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: FL PA9116484)
Enumeration Date
2022-10-18
Last Update Date
2022-10-18
Business Address
SELENA HOUCK PA-C
4930 E LAKE MARY BLVD
SANFORD, FL 32771-5003
Phone number: 407-322-8645
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Mailing Address
SELENA HOUCK PA-C
4930 E LAKE MARY BLVD
SANFORD, FL 32771-5003
Phone number:
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