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1356195911
CHI VAN
TAMPA, FL
NPI
1356195911
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: FL PA9118692)
Enumeration Date
2024-04-11
Last Update Date
2024-05-20
Business Address
CHI VAN PA-C
4620 N 22ND ST
TAMPA, FL 33610-6205
Phone number: 813-397-5300
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Mailing Address
CHI VAN PA-C
4620 N 22ND ST
TAMPA, FL 33610-6205
Phone number: 813-397-5300
Copy
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