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1720001407
MELISSA BUTZ
LAKELAND, FL
NPI
1720001407
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: FL PA9102275)
Enumeration Date
2006-07-25
Last Update Date
2007-07-08
Business Address
-- MELISSA BUTZ PAC
1324 LAKELAND HILLS BLVD
LAKELAND, FL 33805-4543
Phone number: 863-687-1132
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Mailing Address
-- MELISSA BUTZ PAC
3905 DUNAIRE DR
VALRICO, FL 33594-7041
Phone number: 813-654-2249
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