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Individual

LEIGHAH MAGO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CPM, LM

Contact information

Practice address
1726 CHADWICK CT, HURST, TX 76054-3318
(817) 510-6662
(817) 280-9962
Mailing address
1073 EASY ST, GRAPEVINE, TX 76051-4130
(408) 712-8901

Taxonomy

Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
99397
TX

Other

Enumeration date
09/27/2020
Last updated
09/27/2020
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