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1003162595
HEATHER JOY LAISURE
GREENSBORO, NC
NPI
1003162595
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NC 0010-03663)
Enumeration Date
2012-08-02
Last Update Date
2023-02-28
Business Address
Ms. HEATHER JOY LAISURE PA-C
5701 W FRIENDLY AVE
GREENSBORO, NC 27410-4112
Phone number: 336-852-1915
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Mailing Address
Ms. HEATHER JOY LAISURE PA-C
100 KIMEL FOREST DR
WINSTON SALEM, NC 27103-6074
Phone number: 336-716-0238
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