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1083681357
LAUREL ELIZABETH HERRON
JACKSONVILLE, FL
NPI
1083681357
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: FL PA9101706)
Enumeration Date
2006-03-04
Last Update Date
2016-01-26
Business Address
Ms. LAUREL ELIZABETH HERRON PA-C
11761 BEACH BLVD UFJAX - ST. JOHNS BLUFF PRIMARY CARE
JACKSONVILLE, FL 32246-6615
Phone number: 904-633-0585
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Mailing Address
Ms. LAUREL ELIZABETH HERRON PA-C
PO BOX 44008 UFJP PROVIDER ENROLLMENT
JACKSONVILLE, FL 32231-4008
Phone number: 904-244-3199
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