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LEDRO JUSTICE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1401 S 4TH ST, PHILADELPHIA, PA 19147-5948
(479) 629-0658
Mailing address
2023 PARKRIDGE DR, VAN BUREN, AR 72956-7487
(479) 629-0658

Taxonomy

Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
R-4656
AR

Other

Enumeration date
09/01/2006
Last updated
08/01/2013
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