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Individual

MRS. LAURA JAY WEATHERMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PA-C, MPAS

Contact information

Practice address
2200 N BRYAN AVE, 2202 N BRYAN AVE, LAMESA, TX 79331-2451
(806) 872-7494
(806) 872-5917
Mailing address
2200 N BRYAN AVE, 2202 N BRYAN AVE, LAMESA, TX 79331-2451
(806) 872-7291

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA-C, MPAS
TX

Other

Enumeration date
02/24/2006
Last updated
12/13/2016
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