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Individual

CARLY SUMMERELL LEOTTI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AP, DOM

Contact information

Practice address
6156 HEPNER AVE, FORT MYERS, FL 33905-8200
(239) 826-8535
Mailing address
6156 HEPNER AVE, FORT MYERS, FL 33905-8200
(239) 826-8535

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AP2844
FL

Other

Enumeration date
06/29/2010
Last updated
06/29/2010
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