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Individual
THERESA LEROY
Active
Individual
THERESA LEROY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
412474-1
NY
163WH0200X
Home Health Registered Nurse
Primary
412474-1
NY
163WP0200X
Pediatric Registered Nurse
412474-1
NY
163WS0200X
School Registered Nurse
412474-1
NY
Other
Enumeration date
07/05/2010
Last updated
07/05/2010
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