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1740673524
STEPHANIE SHIPKO
ORMOND BEACH, FL
NPI
1740673524
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: FL PA9108631)
Enumeration Date
2015-03-18
Last Update Date
2020-01-17
Business Address
Miss STEPHANIE SHIPKO PA-C
325 CLYDE MORRIS BLVD STE 340
ORMOND BEACH, FL 32174-3199
Phone number: 386-615-8971
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Mailing Address
Miss STEPHANIE SHIPKO PA-C
301 MEMORIAL MEDICAL PKWY
DAYTONA BEACH, FL 32117-5167
Phone number: 386-231-6000
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