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Individual

MRS. LESLIE ANN ETHRIDGE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP, FNP

Contact information

Practice address
1450 ROSS CLARK CIR STE 400, DOTHAN, AL 36301-4770
(334) 305-0400
Mailing address
1450 ROSS CLARK CIR STE 400, DOTHAN, AL 36301-4770
(334) 305-0400

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-155435
AL

Other

Enumeration date
07/25/2022
Last updated
08/31/2023
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