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Individual

MS. JOAN C MCTIGUE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
1601 SW ARCHER RD # J111, GAINESVILLE, FL 32608-1135
(352) 392-4679
(352) 392-6627
Mailing address
4457 SW 84TH WAY, GAINESVILLE, FL 32608-4100
(352) 375-6208
(352) 392-6627

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1783
FL

Other

Enumeration date
07/29/2006
Last updated
07/08/2007
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