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1982684205
SANDRA D FANTAUZZI
SEBRING, FL
NPI
1982684205
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: FL PA9102455)
Enumeration Date
2006-01-20
Last Update Date
2020-05-21
Business Address
SANDRA D FANTAUZZI PAC
4420 SUN N LAKE BLVD
SEBRING, FL 33872-2164
Phone number: 863-385-1244
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Mailing Address
SANDRA D FANTAUZZI PAC
2285 CORPORATE CIR STE 200
HENDERSON, NV 89074-7759
Phone number: 702-360-2763
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