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Individual

MS. LESLIE CAROL MANOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RPH

Contact information

Practice address
4865 DIXIE HWY, FAIRFIELD, OH 45014-1932
(513) 858-4714
(513) 858-4818
Mailing address
4865 DIXIE HWY, FAIRFIELD, OH 45014-1932
(513) 858-4714
(513) 858-4818

Taxonomy

Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
03216599
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
NPI1130
OH
Enumeration date
07/26/2011
Last updated
07/26/2011
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