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Individual
SIRI LEECH
Active
Individual
SIRI LEECH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC, DACBR
Taxonomy
Speciality
Code
Description
License number
State
111NR0200X
Radiology Chiropractor
Primary
007473
IA
111NR0200X
Radiology Chiropractor
038.012224
IL
Other
Enumeration date
04/10/2017
Last updated
04/10/2017
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