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1336789668
MARECIA SHAFAYE JEFFERSON-LIAS
AVON PARK, FL
NPI
1336789668
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Entity Type
Individual
Gender
N/A
Sole Proprietor ?
Yes
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: FL 11004254)
Enumeration Date
2020-01-15
Last Update Date
2021-02-18
Business Address
MARECIA SHAFAYE JEFFERSON-LIAS
950 COUNTY ROAD 17A W
AVON PARK, FL 33825-2164
Phone number: 866-234-8534
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Mailing Address
MARECIA SHAFAYE JEFFERSON-LIAS
47 5TH ST NW
WINTER HAVEN, FL 33881-4672
Phone number: 863-229-7970
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