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1750713798
LEATHA MICHELLE SMITH
LAKE CHARLES, LA
NPI
1750713798
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: LA PA200643)
Enumeration Date
2013-08-01
Last Update Date
2013-08-05
Business Address
-- LEATHA MICHELLE SMITH PA
1717 OAK PARK BLVD FL 3
LAKE CHARLES, LA 70601-8990
Phone number: 337-494-4900
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Mailing Address
-- LEATHA MICHELLE SMITH PA
1717 OAK PARK BLVD FL 3
LAKE CHARLES, LA 70601-8990
Phone number: 337-494-4900
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