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1457963027
CRYSTAL LEE COWAN
TAMPA, FL
NPI
1457963027
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: 1193188)
Enumeration Date
2020-08-17
Last Update Date
2023-06-25
Business Address
Ms. CRYSTAL LEE COWAN PA-C
3250 ZEMKE AVE
TAMPA, FL 33621-2508
Phone number: 813-827-9020
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Mailing Address
Ms. CRYSTAL LEE COWAN PA-C
4331 DEERMONT CIR
TAMPA, FL 33624
Phone number: 316-461-3040
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