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1174720338
SUSIE HEARD LEAVELLE
TEMPLE, TX
NPI
1174720338
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: TX PA01724)
Enumeration Date
2007-06-29
Last Update Date
2020-10-01
Business Address
SUSIE HEARD LEAVELLE P.A.
1901 SW H K DODGEN LOOP
TEMPLE, TX 76502-1814
Phone number: 254-953-4000
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Mailing Address
SUSIE HEARD LEAVELLE P.A.
PO BOX 844658
DALLAS, TX 75284-4658
Phone number: 254-724-2111
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