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1013057801
LAURA ELIZABETH GREEN
OCALA, FL
NPI
1013057801
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: FL PA9104085)
Enumeration Date
2007-02-08
Last Update Date
2009-04-16
Business Address
Ms. LAURA ELIZABETH GREEN PA
1511 SW 1ST AVE
OCALA, FL 34471-6505
Phone number: 352-867-8311
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Mailing Address
Ms. LAURA ELIZABETH GREEN PA
PO BOX 3130
OCALA, FL 34478-3130
Phone number: 352-867-8311
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