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1124740865
GABRIELLA LEARY
SURFSIDE BEACH, SC
NPI
1124740865
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: SC 4618PA)
Enumeration Date
2022-09-19
Last Update Date
2023-03-20
Business Address
GABRIELLA LEARY PA-C
1413 HIGHWAY 17 N
SURFSIDE BEACH, SC 29575-6012
Phone number: 843-238-5654
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Mailing Address
GABRIELLA LEARY PA-C
300 SINGLETON RIDGE RD ATTENTION PNS CREDENTIALING
CONWAY, SC 29526-9142
Phone number: 843-234-6946
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