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1528029626
MALISA MARIE WETMORE
JACKSONVILLE, FL
NPI
1528029626
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: FL PA3665)
Enumeration Date
2006-03-29
Last Update Date
2020-04-01
Business Address
Ms. MALISA MARIE WETMORE PA-C
1301 PALM AVE
JACKSONVILLE, FL 32207-8432
Phone number: 904-202-7300
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Mailing Address
Ms. MALISA MARIE WETMORE PA-C
PO BOX 45278
JACKSONVILLE, FL 32232-5278
Phone number: 904-202-2092
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