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1366689317
KATHERINE ANNE WIEDENHOFER
GAINESVILLE, FL
NPI
1366689317
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: FL PA9104868)
Enumeration Date
2009-01-13
Last Update Date
2009-04-02
Business Address
-- KATHERINE ANNE WIEDENHOFER PA
1600 SW ARCHER RD
GAINESVILLE, FL 32610-3003
Phone number: 352-265-0301
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Mailing Address
-- KATHERINE ANNE WIEDENHOFER PA
PO BOX 918025
ORLANDO, FL 32891-8025
Phone number: 352-265-0335
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