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1720279706
TIFFANY DAWN HALSTEAD
FORT MYERS, FL
NPI
1720279706
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Former Name
TIFFANY DAWN FRANKEL
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: FL PA9104205)
Enumeration Date
2007-08-06
Last Update Date
2023-12-15
Business Address
TIFFANY DAWN HALSTEAD PA
2780 CLEVELAND AVE #702
FORT MYERS, FL 33901
Phone number: 239-343-2686
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Mailing Address
TIFFANY DAWN HALSTEAD PA
PO BOX 2147
FORT MYERS, FL 33902-2147
Phone number: 239-343-2686
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