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Individual

MS. LEAH D. DEMARES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APNP

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
148738
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1295748630
WI
Enumeration date
08/15/2006
Last updated
11/01/2012
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