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1174863724
SUSANA M LEYVA
PHOENIX, AZ
NPI
1174863724
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Former Name
SUSANA M GRAJEDA
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: AZ 5352)
Enumeration Date
2013-02-19
Last Update Date
2018-03-17
Business Address
Mrs. SUSANA M LEYVA PA-C
3700 N 24TH ST STE 210
PHOENIX, AZ 85016-6536
Phone number: 602-840-0681
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Mailing Address
Mrs. SUSANA M LEYVA PA-C
3700 N 24TH ST STE 210
PHOENIX, AZ 85016-6536
Phone number: 602-840-0681
Copy
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