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1376889022
JODI ELLEN SPATHAROS
FORT MYERS, FL
NPI
1376889022
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Former Name
JODI ELLEN STEELMAN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2012-12-28
Last Update Date
2016-08-16
Business Address
-- JODI ELLEN SPATHAROS PA
8350 RIVERWALK PARK BLVD SUITE 1
FORT MYERS, FL 33919-8759
Phone number: 239-482-5399
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Mailing Address
-- JODI ELLEN SPATHAROS PA
1478 SUNKIST WAY
FORT MYERS, FL 33905-3117
Phone number: 239-641-6042
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