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Individual
ISABELA ROSE LETE
Active
Individual
ISABELA ROSE LETE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-S
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
191787
ID
207Q00000X
Family Medicine Physician
PA-2630
ID
363A00000X
Physician Assistant
13882004-1206
UT
363A00000X
Physician Assistant
Primary
PA-2630
ID
Other
Enumeration date
06/23/2022
Last updated
09/04/2026
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