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Individual
LESLIE N. ANDERSON
Active
Individual
LESLIE N. ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA10003637
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0189879
LABOR & INDUSTRY
WA
01
—
57635U
REGENCE BLUESHIELD
WA
05
—
8399172
—
WA
Enumeration date
07/21/2006
Last updated
09/19/2016
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