Individual
JED LEONARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
501 E GRAND AVE, SAYRE, OK 73662-1917
(580) 375-8053
Mailing address
501 E GRAND AVE, SAYRE, OK 73662-1917
(580) 375-8053
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
11/20/2024
Last updated
11/20/2024
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