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1033190467
MICHON DIANNE LEDDY
CLIVE, IA
NPI
1033190467
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: IA 001132)
Enumeration Date
2005-11-11
Last Update Date
2008-07-11
Business Address
-- MICHON DIANNE LEDDY PA-C
2480 BERKSHIRE PKWY
CLIVE, IA 50325-4678
Phone number: 515-225-2578
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Mailing Address
-- MICHON DIANNE LEDDY PA-C
2213 GRAND AVE
DES MOINES, IA 50312-5305
Phone number: 515-237-3974
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