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1023034592
SUSAN LEIGH DIAMOND
PENSACOLA, FL
NPI
1023034592
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: FL PA9103577)
Enumeration Date
2006-07-15
Last Update Date
2011-09-27
Business Address
Ms. SUSAN LEIGH DIAMOND PA-C
5153 N 9TH AVE
PENSACOLA, FL 32504-8785
Phone number: 850-505-4700
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Mailing Address
Ms. SUSAN LEIGH DIAMOND PA-C
PO BOX 191 PROVIDER ENROLLMENT DEPT
ROCKLAND, GA 30384-0001
Phone number: 904-390-3610
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