KATHLEEN MARIE THAXTER

FORT PIERCE, FL
NPI1679633317
Former NameKATHLEEN MARIE DAVIS
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: FL  PA9103098)
Enumeration Date2006-12-11
Last Update Date2007-07-08
Business Address
-- KATHLEEN MARIE THAXTER PA-C
727 NORTH US 1
FORT PIERCE, FL 34950
Phone number: 772-595-5150
Mailing Address
-- KATHLEEN MARIE THAXTER PA-C
4537 SW YAMADA DR
PORT ST LUCIE, FL 34953-6758
Phone number: 954-309-8022
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