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Individual

SAUNDRA E LEONARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
112 GUESS LN, ST MATTHEWS, SC 29135-8410
(803) 536-1571
(803) 536-1463
Mailing address
2319 ST. MATTHEWS ROAD, ORANGEBURG, SC 29118
(803) 536-1571
(803) 536-1463

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
49570
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
413093
SC
Enumeration date
07/10/2006
Last updated
07/08/2007
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