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Individual
LESLIE A GLASGOW
Active
Individual
LESLIE A GLASGOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
3364
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
085196
OREGON MCAID
—
01
—
1095082
WASHINGTON MCAID
WA
05
—
MD3364
—
AK
Enumeration date
04/25/2006
Last updated
10/04/2007
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