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1407296197
TANNELLE MCDOUGLE
ST PETERSBURG, FL
NPI
1407296197
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: FL PA9107285)
Enumeration Date
2013-06-27
Last Update Date
2023-06-16
Business Address
TANNELLE MCDOUGLE PA
1200 7TH AVE N
ST PETERSBURG, FL 33705-1300
Phone number: 727-825-1100
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Mailing Address
TANNELLE MCDOUGLE PA
PO BOX 8677
PHILADELPHIA, PA 19101-8677
Phone number: 800-507-8874
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