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1710578042
NIKOL VANESSA PASSAGLIA
LUTZ, FL
NPI
1710578042
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: FL PAT9117469)
Enumeration Date
2021-01-29
Last Update Date
2023-06-13
Business Address
NIKOL VANESSA PASSAGLIA
19203 N DALE MABRY HWY
LUTZ, FL 33548-5067
Phone number: 813-397-5300
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Mailing Address
NIKOL VANESSA PASSAGLIA
PO BOX 82969
TAMPA, FL 33682-2969
Phone number: 813-866-0930
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