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Individual
LEIGH SUZANNE BOLTON
Active
Individual
LEIGH SUZANNE BOLTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95014743
CA
363LA2100X
Acute Care Nurse Practitioner
95014743
CA
363LF0000X
Family Nurse Practitioner
95014743
CA
Other
Enumeration date
04/11/2020
Last updated
08/04/2025
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