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Individual
MRS. LEESA M SMITH
Active
Individual
MRS. LEESA M SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
IDMT
Taxonomy
Speciality
Code
Description
License number
State
1710I1003X
Independent Duty Medical Technicians
Primary
—
TX
Other
Enumeration date
05/26/2011
Last updated
05/26/2011
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