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Individual

DR. JONATHAN REED LEECH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
1231 S PRAIRIE AVE, PUEBLO, CO 81005-2022
(719) 561-4407
(719) 561-1294
Mailing address
1231 S PRAIRIE AVE, PUEBLO, CO 81005-2022
(719) 561-4407
(719) 561-1294

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
18753
CO
183500000X
Pharmacist
RP7554
NM

Other

Enumeration date
09/10/2012
Last updated
12/07/2013
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