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1821600180
GABRIELA DE VITA
FRISCO, TX
NPI
1821600180
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MI 5601010121)
Enumeration Date
2020-08-18
Last Update Date
2023-05-16
Business Address
GABRIELA DE VITA Physician Assistant
3030 MAIN ST
FRISCO, TX 75033-4317
Phone number: 586-585-9737
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Mailing Address
GABRIELA DE VITA Physician Assistant
PO BOX 360541
PITTSBURGH, PA 15251-6541
Phone number: 972-525-9900
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