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Individual
DR. LESLIE REBECCA SMALL
Active
Individual
DR. LESLIE REBECCA SMALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC 5103
FL
Other
Enumeration date
07/25/2015
Last updated
05/27/2016
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