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1104692664
LAURA LICA
JACKSONVILLE, FL
NPI
1104692664
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2023-11-27
Last Update Date
2024-07-27
Business Address
LAURA LICA
3900 UNIVERSITY BLVD S
JACKSONVILLE, FL 32216-4331
Phone number: 904-222-6656
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Mailing Address
LAURA LICA
14051 BEACH BLVD APT 4212
JACKSONVILLE, FL 32250-1837
Phone number: 734-649-3280
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