LORA JEAN PETERSON

JACKSONVILLE, FL
NPI1487333548
Former NameLORA PETERSON GARRETT
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: FL  PA9114289)
Enumeration Date2023-07-17
Last Update Date2023-07-17
Business Address
Miss LORA JEAN PETERSON PA-C
1697 KINGS RD
JACKSONVILLE, FL 32209-6169
Phone number: 904-478-5483
Mailing Address
Miss LORA JEAN PETERSON PA-C
15555 SPOTTED SADDLE CIR
JACKSONVILLE, FL 32218-7984
Phone number: 510-875-9909
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