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1376095190
CAITLIN IDASPE
FORT MYERS, FL
NPI
1376095190
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: FL PA9109889)
Enumeration Date
2016-10-27
Last Update Date
2016-10-27
Business Address
-- CAITLIN IDASPE PA-C
14192 METROPOLIS AVE
FORT MYERS, FL 33912-4331
Phone number: 239-245-8223
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Mailing Address
-- CAITLIN IDASPE PA-C
13160 CORBEL CIR APT 613
FORT MYERS, FL 33907-7889
Phone number: 757-778-2008
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