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Individual

JOHN A LEAGUE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RRT

Contact information

Practice address
6500 W NEWBERRY RD, GAINESVILLE, FL 32605-4309
(352) 333-4000
Mailing address
3709 NW 55TH TER, GAINESVILLE, FL 32606-6910
(352) 262-5690

Taxonomy

Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
Primary
RT 9502
FL

Other

Enumeration date
07/10/2010
Last updated
07/10/2010
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