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1992802912
LARA ASHLEY EAST LANEVE
JACKSONVILLE, FL
NPI
1992802912
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: FL pa9103914)
Enumeration Date
2006-09-20
Last Update Date
2019-11-06
Business Address
LARA ASHLEY EAST LANEVE pa-c
4479 BAYMEADOWS RD
JACKSONVILLE, FL 32217-4716
Phone number: 904-731-8300
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Mailing Address
LARA ASHLEY EAST LANEVE pa-c
4479 BAYMEADOWS RD
JACKSONVILLE, FL 32217-4716
Phone number: 904-731-8300
Copy
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