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Individual
CARLYN SARA LEAHEY
Active
Individual
CARLYN SARA LEAHEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
1099
AL
363A00000X
Physician Assistant
5055
AZ
363A00000X
Physician Assistant
Primary
PA60711668
WA
363AS0400X
Surgical Physician Assistant
1099
AL
363AS0400X
Surgical Physician Assistant
5055
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
663164
—
AZ
Enumeration date
11/22/2011
Last updated
10/20/2023
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