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Individual
LEAH KING
Active
Individual
LEAH KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110027863B
—
MA
Enumeration date
10/02/2014
Last updated
02/19/2019
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