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I think it would be OK as long as you know the kind of letter they are writing. If they don't know you that well and there is even a miniscule chance that their letter is what kept you from school, then by all means get a new reference.

That being said, be sure that they know what you are working towards, why you want to be a PA, why you should be a PA, and what you are doing in this extra year to prepare for PA school and to prepare for applications.

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