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1588990436
JONATHAN DARSEY RAWLS
NEW PORT RICHEY, FL
NPI
1588990436
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 019524)
Enumeration Date
2009-10-28
Last Update Date
2016-06-28
Business Address
-- JONATHAN DARSEY RAWLS PA-C, ATC
5145 DEER PARK DR
NEW PORT RICHEY, FL 34653-7013
Phone number: 727-848-1417
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Mailing Address
-- JONATHAN DARSEY RAWLS PA-C, ATC
1910 SOUTH RD
POUGHKEEPSIE, NY 12601-6027
Phone number: 845-454-0120
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