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1467724591
MISTY BASHAM-LEEDY
ROANOKE, VA
NPI
1467724591
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: VA 0110003761)
Enumeration Date
2012-02-06
Last Update Date
2021-09-29
Business Address
MISTY BASHAM-LEEDY PA-C
1906 BELLEVIEW AVE SE CARILION RMH - DEPARTMENT OF EMERGENCY MEDICINE
ROANOKE, VA 24014-1838
Phone number: 540-266-6331
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Mailing Address
MISTY BASHAM-LEEDY PA-C
1906 BELLEVIEW AVENUE CARILION RMH - DEPARTMENT OF EMERGENCY MEDICINE
ROANOKE, VA 24014
Phone number: 540-266-6331
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