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1144696907
LARRIETTA LEANN ELLIOTTE
CORBIN, KY
NPI
1144696907
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: KY PA2027)
Enumeration Date
2015-08-17
Last Update Date
2020-12-04
Business Address
MRS. LARRIETTA LEANN ELLIOTTE PA-C
1 TRILLIUM WAY
CORBIN, KY 40701
Phone number: 606-526-4449
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Mailing Address
MRS. LARRIETTA LEANN ELLIOTTE PA-C
1 TRILLIUM WAY
CORBIN, KY 40701-8727
Phone number: 606-526-4449
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