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Individual
JOSEPH LEE EASLEY
Active
Individual
JOSEPH LEE EASLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PNP
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
RN28947
MT
Other
Enumeration date
09/21/2005
Last updated
10/11/2012
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