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1649993023
LUCAS SCOTT CORBIN
OVIEDO, FL
NPI
1649993023
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: FL PA9118565)
Enumeration Date
2022-09-21
Last Update Date
2024-04-16
Business Address
LUCAS SCOTT CORBIN
8400 RED BUG LAKE RD
OVIEDO, FL 32765-6828
Phone number: 321-415-1020
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Mailing Address
LUCAS SCOTT CORBIN
PO BOX 370
FORTSON, GA 31808-0370
Phone number:
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