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Individual
MR. ROBERT EVERETT LEETH
Active
Individual
MR. ROBERT EVERETT LEETH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP, PMHNP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
19136
OH
363LF0000X
Family Nurse Practitioner
23345
CA
363LF0000X
Family Nurse Practitioner
897
AK
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
19136
OH
Other
Enumeration date
04/07/2006
Last updated
04/02/2024
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