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Individual

HEATHER R WRIGHT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
1600 SW ARCHER RD, BOX 112727, GAINESVILLE, FL 32610-2727
(352) 273-7002
(352) 273-7388
Mailing address
1600 SW ARCHER RD, BOX 112727, GAINESVILLE, FL 32610-2727
(352) 273-7002
(352) 273-7388

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9105944
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
003912100
FL
Enumeration date
06/07/2011
Last updated
09/18/2015
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