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Individual
PATRICIA L LANDRETH
Active
Individual
PATRICIA L LANDRETH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
63661
NM
207Q00000X
Family Medicine Physician
Primary
F03211422
NM
Other
Enumeration date
04/06/2021
Last updated
08/17/2021
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