KEELY M STATEN

LECANTO, FL
NPI1649758004
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: FL  PA9112684)
Enumeration Date2018-07-29
Last Update Date2022-11-12
Business Address
KEELY M STATEN PA-C
525 N DACIE PT
LECANTO, FL 34461-8399
Phone number: 813-321-1786
Mailing Address
KEELY M STATEN PA-C
4651 VAN DYKE RD
LUTZ, FL 33558-4880
Phone number: 813-321-1786
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