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Individual
BETH LEE LEADER
Active
Individual
BETH LEE LEADER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
2795
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100124300B
—
OK
Enumeration date
10/31/2005
Last updated
04/17/2012
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