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Individual

MS. LEAH MARIE BALDWIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
IDC

Contact information

Practice address
55 GEORGE RD, QUINCY, MA 02170-3708
(619) 318-5168
Mailing address
55 GEORGE RD, QUINCY, MA 02170-3708
(619) 318-5168

Taxonomy

Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary

Other

Enumeration date
11/01/2010
Last updated
11/01/2010
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