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1336769256
PHUNG BAXTER
LAKEWOOD RANCH, FL
NPI
1336769256
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: FL 9113083)
Enumeration Date
2020-04-21
Last Update Date
2021-12-06
Business Address
Ms. PHUNG BAXTER
6280 LAKE OSPREY DR
LAKEWOOD RANCH, FL 34240-8425
Phone number: 941-351-5700
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Mailing Address
Ms. PHUNG BAXTER
6280 LAKE OSPREY DR
LAKEWOOD RANCH, FL 34240-8425
Phone number: 941-351-5700
Copy
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