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1629552435
LEENA CHACKO KOSHY
CHARLOTTE, NC
NPI
1629552435
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NC 0010-07927)
Enumeration Date
2018-09-18
Last Update Date
2022-10-05
Business Address
LEENA CHACKO KOSHY PA-C
12011 OLD TIMBER RD
CHARLOTTE, NC 28269-8750
Phone number: 704-574-7216
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Mailing Address
LEENA CHACKO KOSHY PA-C
391 GEORGE W LILES PKWY NW
CONCORD, NC 28027-8218
Phone number: 048-861-7807
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