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1194889394
KATHERINE R TYRIVER
ORLANDO, FL
NPI
1194889394
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: FL PA91012431)
Enumeration Date
2006-12-21
Last Update Date
2007-07-08
Business Address
-- KATHERINE R TYRIVER PA
9400 TURKEY LAKE RD
ORLANDO, FL 32819-8001
Phone number: 407-351-8500
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Mailing Address
-- KATHERINE R TYRIVER PA
PO BOX 628296
ORLANDO, FL 32862-8296
Phone number: 407-741-9418
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