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1265400071
LARRY P LEASE
CHARLOTTE, NC
NPI
1265400071
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NC 102779)
Enumeration Date
2006-03-08
Last Update Date
2015-03-06
Business Address
Mr. LARRY P LEASE P.A.
6035 FAIRVIEW RD
CHARLOTTE, NC 28210-3256
Phone number: 704-295-3000
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Mailing Address
Mr. LARRY P LEASE P.A.
6035 FAIRVIEW RD
CHARLOTTE, NC 28210-3256
Phone number: 704-295-3000
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