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1679633317
KATHLEEN MARIE THAXTER
FORT PIERCE, FL
NPI
1679633317
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Former Name
KATHLEEN MARIE DAVIS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: FL PA9103098)
Enumeration Date
2006-12-11
Last Update Date
2007-07-08
Business Address
KATHLEEN MARIE THAXTER PA-C
727 NORTH US 1
FORT PIERCE, FL 34950
Phone number: 772-595-5150
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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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