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1518950369
LEAH AUTRY BLACK
FAYETTEVILLE, NC
NPI
1518950369
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NC 102900)
Enumeration Date
2005-08-26
Last Update Date
2022-07-21
Business Address
Mrs. LEAH AUTRY BLACK PA C
1327 ROBESON ST
FAYETTEVILLE, NC 28305-5531
Phone number: 910-486-5437
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Mailing Address
Mrs. LEAH AUTRY BLACK PA C
1327 ROBESON ST
FAYETTEVILLE, NC 28305-5531
Phone number: 910-486-5437
Copy
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