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Individual
LIESA A DAVIS
Active
Individual
LIESA A DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
COA.15925-NP
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0112089
—
OH
Enumeration date
10/13/2014
Last updated
10/05/2023
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