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Individual

CLARA ELSA LEON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
118 DARBY DR, HOLLISTER, FL 32147-0538
(386) 325-2147
Mailing address
PO BOX 538, HOLLISTER, FL 32147-0538
(386) 325-2147

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN3144742
FL

Other

Enumeration date
11/05/2008
Last updated
11/05/2008
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