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1568803856
MARY LOUGH
TAMPA, FL
NPI
1568803856
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2013-07-15
Last Update Date
2015-04-29
Business Address
-- MARY LOUGH PA-C
12880 COMMODITY PL
TAMPA, FL 33626-3101
Phone number: 813-343-5500
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Mailing Address
-- MARY LOUGH PA-C
106 S GILMOR ST
BALTIMORE, MD 21223-2425
Phone number: 801-362-9856
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