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1780151605
LEAH MARIE CARROLL
LAKELAND, FL
NPI
1780151605
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: FL PA9111743)
Enumeration Date
2018-10-29
Last Update Date
2018-10-29
Business Address
Ms. LEAH MARIE CARROLL PA
5216 SCOTLAND PL
LAKELAND, FL 33813-3063
Phone number: 863-660-2344
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Mailing Address
Ms. LEAH MARIE CARROLL PA
5216 SCOTLAND PL
LAKELAND, FL 33813-3063
Phone number: 863-647-2787
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