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Individual
MRS. LEIGH WYNKOOP
Active
Individual
MRS. LEIGH WYNKOOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-00258
NC
363AM0700X
Medical Physician Assistant
001000258
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8101638
—
NC
01
—
P00444634
RAILROAD MEDICARE
NC
Enumeration date
10/25/2006
Last updated
03/18/2015
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