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1760887210
MICHAEL JARETH SWANSON
FORT PIERCE, FL
NPI
1760887210
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: FL PA9108363)
Enumeration Date
2014-10-27
Last Update Date
2015-04-13
Business Address
Mr. MICHAEL JARETH SWANSON PA-C
2402 FRIST BLVD SUITE 204
FORT PIERCE, FL 34950-4838
Phone number: 772-462-3939
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Mailing Address
Mr. MICHAEL JARETH SWANSON PA-C
2402 FRIST BLVD SUITE 204
FORT PIERCE, FL 34950-4838
Phone number: 772-462-3939
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