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Individual

ELIZABETH T PEARSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S., CCC-A

Contact information

Practice address
1128 N LAURA ST, JACKSONVILLE, FL 32206-4912
(904) 355-3403
(904) 355-4149
Mailing address
1128 N LAURA ST, JACKSONVILLE, FL 32206-4912
(904) 355-3403
(904) 355-4149

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AY 594
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
6004741-00
FL
Enumeration date
08/31/2006
Last updated
07/09/2007
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