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1699057984
LISA G DEPETRIS
JACKSONVILLE, FL
NPI
1699057984
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: FL PS45057)
Enumeration Date
2011-09-13
Last Update Date
2011-09-13
Business Address
Dr. LISA G DEPETRIS PharmD
12647 KERNAN FOREST BLVD
JACKSONVILLE, FL 32225-9501
Phone number: 904-993-6383
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Mailing Address
Dr. LISA G DEPETRIS PharmD
12647 KERNAN FOREST BOLUVARD
JACKSONVILLE, FL 32225
Phone number: 904-993-6383
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