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Individual
ANGELA L ROY
Active
Individual
ANGELA L ROY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA200271
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03053256
—
MS
05
—
1894125
—
LA
Enumeration date
09/04/2009
Last updated
03/17/2025
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