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1184212425
ANNAELLE ROSE SCANLAN
TAMPA, FL
NPI
1184212425
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: FL PA9113434)
Enumeration Date
2021-01-04
Last Update Date
2021-01-04
Business Address
ANNAELLE ROSE SCANLAN
15049 BRUCE B DOWNS BLVD
TAMPA, FL 33647-1388
Phone number: 813-563-7668
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Mailing Address
ANNAELLE ROSE SCANLAN
5153 ROMA ST
AVE MARIA, FL 34142-5052
Phone number: 239-651-9524
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