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1164730289
IAN WETHERALL
CLEARWATER, FL
NPI
1164730289
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: FL PA9108763)
Enumeration Date
2010-09-23
Last Update Date
2024-12-16
Business Address
Mr. IAN WETHERALL PA-C
455 PINELLAS ST SUITE 320
CLEARWATER, FL 33756-3354
Phone number: 727-446-2273
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Mailing Address
Mr. IAN WETHERALL PA-C
455 PINELLAS ST STE 320
CLEARWATER, FL 33756-3369
Phone number: 727-446-2273
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