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1902088586
JENNIFER ELIZABETH FAISON
PORT ORANGE, FL
NPI
1902088586
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: FL PA9104338)
Enumeration Date
2007-12-05
Last Update Date
2011-07-26
Business Address
JENNIFER ELIZABETH FAISON P.A.-C
1690 DUNLAWTON AVENUE SUITE 210
PORT ORANGE, FL 32127-8980
Phone number: 386-763-4920
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Mailing Address
JENNIFER ELIZABETH FAISON P.A.-C
1690 DUNLAWTON AVENUE SUITE 210
PORT ORANGE, FL 32127-8980
Phone number: 386-763-4920
Copy
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