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1427105774
LISA M SALT
SAINT AUGUSTINE, FL
NPI
1427105774
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: FL PA9103852)
Enumeration Date
2007-01-05
Last Update Date
2008-07-23
Business Address
-- LISA M SALT PA
130 HEALTH PARK BLVD
SAINT AUGUSTINE, FL 32086-5776
Phone number: 904-826-3469
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Mailing Address
-- LISA M SALT PA
130 HEALTH PARK BLVD
ST AUGUSTINE, FL 32086-5776
Phone number: 904-826-3469
Copy
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