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1285366690
KATHERINE CLARICE VITELLO
SOUTHLAKE, TX
NPI
1285366690
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2022-06-26
Last Update Date
2024-03-04
Business Address
KATHERINE CLARICE VITELLO
505 S NOLEN DR
SOUTHLAKE, TX 76092-9167
Phone number: 817-697-0253
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Mailing Address
KATHERINE CLARICE VITELLO
PO BOX 917770
ORLANDO, FL 32891-0001
Phone number:
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