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1346222569
FLOR MARITZA LLISO
AUGUSTA, GA
NPI
1346222569
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: GA 183500000x)
Enumeration Date
2005-11-15
Last Update Date
2015-05-08
Business Address
Mrs. FLOR MARITZA LLISO P.A.
5795 CARRIAGE HILLS DR
AUGUSTA, GA 30907-8208
Phone number: 912-980-7342
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Mailing Address
Mrs. FLOR MARITZA LLISO P.A.
5795 CARRIAGE HILLS DR
AUGUSTA, GA 30907-8208
Phone number: 912-980-7342
Copy
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