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1366466724
CHRISTINE M HALVORSEN
LEESBURG, FL
NPI
1366466724
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: FL PA3628)
Enumeration Date
2006-07-27
Last Update Date
2012-04-18
Business Address
-- CHRISTINE M HALVORSEN PAC
601 E DIXIE AVE PLAZA 901
LEESBURG, FL 34748-5953
Phone number: 352-728-2404
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Mailing Address
-- CHRISTINE M HALVORSEN PAC
601 E DIXIE AVE PLAZA 901
LEESBURG, FL 34748-5953
Phone number: 352-728-2404
Copy
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