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1831215540
ELIZABETH ELLLEN MOHANTY
PALM BEACH GARDENS, FL
NPI
1831215540
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: FL PA9102986)
Enumeration Date
2007-03-22
Last Update Date
2007-07-08
Business Address
-- ELIZABETH ELLLEN MOHANTY
3345 BURNS RD STE 105 3345 BURNS RD, SUITE 105
PALM BEACH GARDENS, FL 33410-4304
Phone number: 561-626-1881
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Mailing Address
-- ELIZABETH ELLLEN MOHANTY
11814 LAKE SHORE PL 11814 NORTH LAKE SHORE PLACE
NORTH PALM BEACH, FL 33408-3206
Phone number: 561-635-1769
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