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Individual
LESLIE CAROL BARDESSONO
Active
Individual
LESLIE CAROL BARDESSONO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
0200619A
IN
2084P0800X
Psychiatry Physician
032.0134075
VT
2084P0800X
Psychiatry Physician
13060A
WY
2084P0800X
Psychiatry Physician
Primary
20A20848
CA
2084P0800X
Psychiatry Physician
E-12371
AR
Other
Enumeration date
04/13/2016
Last updated
06/21/2023
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