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1861729204
CAROLYN ELIZABETH LEACH
SAINT PAUL, MN
NPI
1861729204
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: MN R156707-6)
Enumeration Date
2009-11-05
Last Update Date
2018-05-01
Business Address
CAROLYN ELIZABETH LEACH CNP
345 SMITH AVE N
SAINT PAUL, MN 55102-2346
Phone number: 651-220-6624
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Mailing Address
CAROLYN ELIZABETH LEACH CNP
5901 LINCOLN DR CBC-2-REV/PE
EDINA, MN 55436-1611
Phone number: 651-220-6624
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