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Individual
LEIA SULLIVAN
Active
Individual
LEIA SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PAC
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9118070
FL
Other
Enumeration date
04/09/2024
Last updated
04/09/2024
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