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1639603939
LARA AILEEN MCCOY
JACKSONVILLE, FL
NPI
1639603939
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: FL PA9101715)
Enumeration Date
2017-04-13
Last Update Date
2017-04-13
Business Address
Mrs. LARA AILEEN MCCOY PA-C
13811 WHITE HERON PL
JACKSONVILLE, FL 32224-4804
Phone number: 904-534-8527
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Mailing Address
Mrs. LARA AILEEN MCCOY PA-C
13811 WHITE HERON PL
JACKSONVILLE, FL 32224-4804
Phone number: 904-534-8527
Copy
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