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1093219842
LISA HAIR
THE VILLAGES, FL
NPI
1093219842
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: FL PA9110514)
Enumeration Date
2018-03-19
Last Update Date
2019-07-01
Business Address
LISA HAIR PA
910 OLD CAMP RD STE 166
THE VILLAGES, FL 32162-5609
Phone number: 352-205-4959
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Mailing Address
LISA HAIR PA
151 SOUTHHALL LN STE 300
MAITLAND, FL 32751-7172
Phone number: 407-875-2080
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