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Individual
CAROLYN ELIZABETH LEACH
Active
Individual
CAROLYN ELIZABETH LEACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
R156707-6
MN
Other
Enumeration date
11/05/2009
Last updated
05/01/2018
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