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1013664093
MOOREA LEIGH MASSA
FAYETTEVILLE, AR
NPI
1013664093
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
Additional Taxonomies
363AM0700X Physician Assistant, Medical
Enumeration Date
2022-03-09
Last Update Date
2023-05-30
Business Address
MOOREA LEIGH MASSA PA-C
3336 N FUTRALL DR
FAYETTEVILLE, AR 72703-4057
Phone number: 479-463-3000
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Mailing Address
MOOREA LEIGH MASSA PA-C
614 NE ALPHA CIR APT 308
BENTONVILLE, AR 72712-3050
Phone number: 828-551-9925
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