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1275588063
LAURIE FASHAKIN
MAITLAND, FL
NPI
1275588063
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: FL pa9102832)
Enumeration Date
2006-05-23
Last Update Date
2014-08-18
Business Address
-- LAURIE FASHAKIN PA
800 N MAITLAND AVE STE 202
MAITLAND, FL 32751-4499
Phone number: 407-389-2020
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Mailing Address
-- LAURIE FASHAKIN PA
515 W SR 434 STE 210
LONGWOOD, FL 32750-4981
Phone number: 407-332-8080
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