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Individual

ALLISON ENGLE LEBLANC

Active
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Individual

ALLISON ENGLE LEBLANC

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA200065
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
05226311
MS
05
1806170
LA
Enumeration date
05/11/2006
Last updated
11/30/2010
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