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1578399382
TAVIS LEIGHTON
MINNEAPOLIS, MN
NPI
1578399382
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MN 15083)
Enumeration Date
2024-09-09
Last Update Date
2024-12-30
Business Address
TAVIS LEIGHTON PA-C
701 PARK AVE
MINNEAPOLIS, MN 55415-1623
Phone number: 612-873-3000
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Mailing Address
TAVIS LEIGHTON PA-C
701 PARK AVE
MINNEAPOLIS, MN 55415-1623
Phone number: 612-873-3000
Copy
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