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1356918494
CASSANDRA LEE WALLACE
SARASOTA, FL
NPI
1356918494
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: FL PA9114232)
Enumeration Date
2021-06-08
Last Update Date
2022-04-05
Business Address
CASSANDRA LEE WALLACE PA-C
7250 BENEVA RD
SARASOTA, FL 34238-2806
Phone number: 941-921-0986
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Mailing Address
CASSANDRA LEE WALLACE PA-C
3300 S FISKE BLVD
ROCKLEDGE, FL 32955-4306
Phone number: 941-921-0986
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