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Individual
THOMAS ROBERT LEIDENTHAL
Active
Individual
THOMAS ROBERT LEIDENTHAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CMT
Taxonomy
Speciality
Code
Description
License number
State
173C00000X
Reflexologist
Primary
42960
CA
Other
Enumeration date
05/22/2015
Last updated
05/22/2015
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