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1619967601
EDWARD LEAS
CONRAD, MT
NPI
1619967601
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MT 388)
Enumeration Date
2005-10-21
Last Update Date
2007-07-08
Business Address
-- EDWARD LEAS PA
805 SUNSET BLVD
CONRAD, MT 59425-1717
Phone number: 406-271-3211
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Mailing Address
-- EDWARD LEAS PA
805 SUNSET BLVD P O BOX 758
CONRAD, MT 59425-0758
Phone number: 406-271-3211
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