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1235812918
ABIGAIL GRACE LEAFBLAD
LAKEWAY, TX
NPI
1235812918
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: TX PA18469)
Enumeration Date
2023-08-09
Last Update Date
2024-11-13
Business Address
ABIGAIL GRACE LEAFBLAD
100 MEDICAL PKWY
LAKEWAY, TX 78738-5621
Phone number: 512-571-5000
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Mailing Address
ABIGAIL GRACE LEAFBLAD
PO BOX 844658
DALLAS, TX 75284-4658
Phone number: 254-724-2111
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