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Individual

LEON ROSS AYLETT III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
AGPCNP

Contact information

Practice address
110 ILLINOIS AVE, COUNCIL, ID 83612
(208) 849-3725
(844) 689-3409
Mailing address
110 ILLINOIS AVE, COUNCIL, ID 83612
(208) 849-3725
(844) 689-3409

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
202208292NP-PP
OR
363LG0600X
Gerontology Nurse Practitioner
202208292-NP-PP
OR

Other

Enumeration date
02/06/2019
Last updated
08/07/2026
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