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1720161318
LAURIE K. WISOTSKY
TAMPA, FL
NPI
1720161318
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Former Name
LAURIE K. KLEIN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: FL PA9103684)
Enumeration Date
2006-10-24
Last Update Date
2007-07-17
Business Address
-- LAURIE K. WISOTSKY PA-C
12880 COMMODITY PL C/O UNITED SURGICAL ASSISTANTS, INC.
TAMPA, FL 33626-3101
Phone number: 877-872-5788
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Mailing Address
-- LAURIE K. WISOTSKY PA-C
PO BOX 21686 C/O UNITED SURGICAL ASSISTANTS, INC.
TAMPA, FL 33622-1686
Phone number:
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