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1871516351
JEANETTE L LAIN
DELAND, FL
NPI
1871516351
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: FL PA9104131)
Enumeration Date
2006-07-25
Last Update Date
2021-03-16
Business Address
JEANETTE L LAIN P.A.
685 PEACHWOOD DR
DELAND, FL 32720-0804
Phone number: 386-736-3463
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Mailing Address
JEANETTE L LAIN P.A.
12109 COUNTY ROAD 103
OXFORD, FL 34484-2951
Phone number: 352-205-8981
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