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1578502969
LISA ELEANOR JEFFERSON
PORTSMOUTH, VA
NPI
1578502969
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: VA 0102050078)
Enumeration Date
2006-06-04
Last Update Date
2020-12-30
Business Address
Dr. LISA ELEANOR JEFFERSON D.O.
4106 PORTSMOUTH BLVD
PORTSMOUTH, VA 23701-2968
Phone number: 757-393-1136
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Mailing Address
Dr. LISA ELEANOR JEFFERSON D.O.
4106 PORTSMOUTH BLVD
PORTSMOUTH, VA 23701-2968
Phone number: 757-393-1136
Copy
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