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Individual

FAITH ASHLEY FRAZIER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
9400 UNIVERSITY PKWY STE 101, PENSACOLA, FL 32514-5752
(850) 208-6130
Mailing address
PO BOX 17568, PENSACOLA, FL 32522-7568

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9108714
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
015516100
FL
Enumeration date
09/13/2010
Last updated
02/18/2021
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