CHARLENE M COUILLARD

LEHIGH ACRES, FL
NPI1255329678
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: FL  PA9102270)
Enumeration Date2005-10-10
Last Update Date2014-04-14
Business Address
-- CHARLENE M COUILLARD PA
60 WESTMINSTER ST N SUITE A
LEHIGH ACRES, FL 33936-6518
Phone number: 239-368-1808
Mailing Address
-- CHARLENE M COUILLARD PA
8851 BOARDROOM CIR
FORT MYERS, FL 33919-4888
Phone number: 239-481-7000
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