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1316216492
JACLYN MARIE PENNINGTON ORTEGA
PANAMA CITY, FL
NPI
1316216492
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: FL PA 9105851)
Enumeration Date
2011-12-20
Last Update Date
2024-09-12
Business Address
JACLYN MARIE PENNINGTON ORTEGA PA-C
204 E 19TH ST
PANAMA CITY, FL 32405-4707
Phone number: 850-763-5409
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Mailing Address
JACLYN MARIE PENNINGTON ORTEGA PA-C
4601 E LAKELAND DR
PANAMA CITY, FL 32404-5219
Phone number: 850-625-0562
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