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1811271760
AUDRA ELLEN LEEDY
TAMPA, FL
NPI
1811271760
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: FL PA9106328)
Enumeration Date
2011-10-10
Last Update Date
2023-10-02
Business Address
Mrs. AUDRA ELLEN LEEDY PA
10150 HIGHLAND MANOR DR STE 205
TAMPA, FL 33610-9727
Phone number: 813-259-1013
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Mailing Address
Mrs. AUDRA ELLEN LEEDY PA
10150 HIGHLAND MANOR DR STE 205
TAMPA, FL 33610-9727
Phone number: 813-259-1013
Copy
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