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Individual

JENNIFER LYNN LEATHEAD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
918 E NORVELL BRYANT HWY, HERNANDO, FL 34442-2826
(352) 419-4856
Mailing address
110 S APOPKA AVE, INVERNESS, FL 34452-4837
(352) 560-7027

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
08/18/2020
Last updated
08/18/2020
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Product
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