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Individual

JORDYN LEACH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
565 RADIO HILL, MARION, VA 24354
(423) 943-5853
Mailing address
57 N 4TH ST, LEWISBURG, PA 17837-1401

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary

Other

Enumeration date
08/05/2024
Last updated
08/05/2024
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