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1003271404
JESSICA DEFAZIO
JACKSONVILLE, FL
NPI
1003271404
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: FL PA9113468)
Enumeration Date
2015-12-30
Last Update Date
2024-12-20
Business Address
JESSICA DEFAZIO PA-C
800 PRUDENTIAL DR STE 1100
JACKSONVILLE, FL 32207-8202
Phone number: 904-388-6518
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Mailing Address
JESSICA DEFAZIO PA-C
PO BOX 746647
ATLANTA, GA 30374-6647
Phone number: 904-388-6518
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