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1649245796
SAMMIE L PHELAN
TAMPA, FL
NPI
1649245796
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 009823)
Enumeration Date
2006-02-22
Last Update Date
2011-09-29
Business Address
Mr. SAMMIE L PHELAN PHYSICIAN ASSISTANT
14020 N 46TH ST
TAMPA, FL 33613-4018
Phone number: 813-972-2000
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Mailing Address
Mr. SAMMIE L PHELAN PHYSICIAN ASSISTANT
14020 N 46TH ST
TAMPA, FL 33613-4018
Phone number: 813-972-2000
Copy
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