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Individual

KANDACE LYNN LEONARD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
REHAB SPECIALIST

Contact information

Practice address
5714 S WESTERN AVE, OKLAHOMA CITY, OK 73109-4515
(405) 601-1154
(405) 601-1183
Mailing address
5714 S WESTERN AVE, OKLAHOMA CITY, OK 73109-4515
(405) 601-1154
(405) 601-1183

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
05/31/2012
Last updated
07/24/2012
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