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1578205381
STEPHANIE NICOLE CANAL
LAKELAND, FL
NPI
1578205381
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2022-04-12
Last Update Date
2024-07-25
Business Address
STEPHANIE NICOLE CANAL PA-C
1324 LAKELAND HILLS BLVD STE A
LAKELAND, FL 33805-4543
Phone number: 407-650-7715
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Mailing Address
STEPHANIE NICOLE CANAL PA-C
10140 CENTURION PKWY N
JACKSONVILLE, FL 32256-0532
Phone number: 046-974-1009
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