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Individual
MRS. HARMONY DAWN CHURCH
Active
Individual
MRS. HARMONY DAWN CHURCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
PA 9103042
FL
363AS0400X
Surgical Physician Assistant
Primary
9103042
FL
Other
Enumeration date
04/16/2007
Last updated
10/21/2011
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