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1538531009
LISA NELSON
PORT ST LUCIE, FL
NPI
1538531009
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: FL PA9107963)
Enumeration Date
2015-10-23
Last Update Date
2016-09-05
Business Address
-- LISA NELSON PA-C
540 NW UNIVERSITY BLVD #107
PORT ST LUCIE, FL 34986-2279
Phone number: 321-236-2323
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Mailing Address
-- LISA NELSON PA-C
540 NW UNIVERSITY BLVD #107
PORT ST LUCIE, FL 34986-2279
Phone number: 321-236-2323
Copy
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