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1356934962
MARY SHIELDS
BRADENTON, FL
NPI
1356934962
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: FL PA9114019)
Enumeration Date
2021-02-15
Last Update Date
2021-02-15
Business Address
MARY SHIELDS PA-C
200 3RD AVE W STE 210
BRADENTON, FL 34205-8633
Phone number: 941-792-0340
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Mailing Address
MARY SHIELDS PA-C
715 W ALFRED ST
TAMPA, FL 33603-5514
Phone number: 850-694-1289
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