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Individual

MRS. BRANDY LEIGH MINOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
012404-1
NY
363A00000X
Physician Assistant
1319
SC
363AM0700X
Medical Physician Assistant
PA9106118
FL
363AS0400X
Surgical Physician Assistant
PA9106118
FL

Other

Enumeration date
02/28/2008
Last updated
03/04/2014
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