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1225398852
LISA BETHANY MARSHALL
MIAMI, FL
NPI
1225398852
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: FL PA9106430)
Enumeration Date
2012-05-16
Last Update Date
2023-11-27
Business Address
Ms. LISA BETHANY MARSHALL Physician Assistant
648 NW 183RD STREET
MIAMI, FL 33169
Phone number: 954-973-5533
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Mailing Address
Ms. LISA BETHANY MARSHALL Physician Assistant
1314 E LAS OLAS BLVD STE 1545
FORT LAUDERDALE, FL 33301-2334
Phone number: 954-973-5533
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