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1902074602
ELIZABETH A.S. DIERSING
JACKSONVILLE, FL
NPI
1902074602
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: FL PA9104503)
Enumeration Date
2008-02-15
Last Update Date
2017-03-17
Business Address
-- ELIZABETH A.S. DIERSING PA
655 W 8TH ST UFJAX - SURGERY DEPT
JACKSONVILLE, FL 32209-6511
Phone number: 904-244-3416
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Mailing Address
-- ELIZABETH A.S. DIERSING PA
PO BOX 44008 UFJP - PROVIDER ENROLLMENT
JACKSONVILLE, FL 32231-4008
Phone number: 904-244-3199
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