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1245705862
JODIANNE C COFFEE
CLEARWATER, FL
NPI
1245705862
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: FL PA9111227)
Enumeration Date
2018-10-10
Last Update Date
2020-10-27
Business Address
JODIANNE C COFFEE PA-C
27001 US HIGHWAY 19 N STE 1033B
CLEARWATER, FL 33761-3407
Phone number: 727-726-1962
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Mailing Address
JODIANNE C COFFEE PA-C
201 4TH ST S UNIT 407
ST PETERSBURG, FL 33701-4290
Phone number: 727-667-3033
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