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1417404237
SHRUTI PATEL
DELAND, FL
NPI
1417404237
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: FL PA9109687)
Enumeration Date
2016-09-09
Last Update Date
2017-06-23
Business Address
-- SHRUTI PATEL PA-C
800 W PLYMOUTH AVE SUITE A
DELAND, FL 32720-3215
Phone number: 386-736-7933
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Mailing Address
-- SHRUTI PATEL PA-C
216 FREDERICK ST
PIERSON, FL 32180-3024
Phone number:
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