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1710348479
KATRINA POTITHAVORANANT
SAINT PETERSBURG, FL
NPI
1710348479
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: FL PA9112237)
Enumeration Date
2016-03-09
Last Update Date
2023-08-17
Business Address
KATRINA POTITHAVORANANT
620 10TH ST N STE 1E
SAINT PETERSBURG, FL 33705-1407
Phone number: 727-824-3120
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Mailing Address
KATRINA POTITHAVORANANT
620 10TH ST N STE 1E
SAINT PETERSBURG, FL 33705-1407
Phone number: 727-824-3120
Copy
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