GABRIELLE KEOVONGSA

TAMPA, FL
NPI1841083896
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: FL  PA9120480)
Enumeration Date2025-05-23
Last Update Date2025-12-01
Business Address
GABRIELLE KEOVONGSA
12902 USF MAGNOLIA DR
TAMPA, FL 33612-9416
Phone number: 813-745-4673
Mailing Address
GABRIELLE KEOVONGSA
PO BOX 198441
ATLANTA, GA 30384-8441
Phone number: 813-745-4673
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