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1487672457
JAMES FAIRCLOTH
SPRING HILL, FL
NPI
1487672457
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: FL PA1836)
Enumeration Date
2006-07-18
Last Update Date
2007-07-08
Business Address
-- JAMES FAIRCLOTH PA
11375 CORTEZ BLVD
SPRING HILL, FL 34613-5409
Phone number: 352-597-3008
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Mailing Address
-- JAMES FAIRCLOTH PA
13705 PIMBERTON DR
HUDSON, FL 34669-0809
Phone number: 727-819-0018
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