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Individual

LESLIE A HALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2345 BENT WAY, LONGMONT, CO 80503-7614
(303) 678-3275
Mailing address
1066 GLEN DALE CIR, DACONO, CO 80514-9642
(303) 833-8937

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN116992
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
015005
KAISER-COMMERCIAL NUMBER
Enumeration date
02/27/2007
Last updated
03/07/2008
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