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1386920502
LESLEY D LOOPER
MAULDIN, SC
NPI
1386920502
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: SC TL1702)
Enumeration Date
2011-11-02
Last Update Date
2011-11-15
Business Address
-- LESLEY D LOOPER PA
309 W BUTLER RD
MAULDIN, SC 29662-2531
Phone number: 864-297-1575
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Mailing Address
-- LESLEY D LOOPER PA
11 ARDEN ST
GREENVILLE, SC 29607-1704
Phone number: 864-784-3442
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