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Individual
DR. LEONARDO C PROFENNA
Active
Individual
DR. LEONARDO C PROFENNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2083A0100X
Aerospace Medicine Physician
P2157
TX
2083P0011X
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
Primary
P2157
TX
Other
Enumeration date
09/07/2005
Last updated
05/10/2022
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