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MS. JACQUELINE ELLEN LEYRER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
15830 BALLANTYNE MEDICAL PL, CHARLOTTE, NC 28277-4653
(704) 341-0090
Mailing address
15830 BALLANTYNE MEDICAL PL, CHARLOTTE, NC 28277-4653
(704) 341-0090

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-10302
NC

Other

Enumeration date
07/29/2020
Last updated
09/04/2023
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