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Individual

LEONARD DEFIORE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CMT

Contact information

Practice address
1301 BLACK HORSE PIKE RT. 168, TURNERSVILLE, NJ 08012
(609) 405-8372
Mailing address
168 ELWOOD CT, SEWELL, NJ 08080-1813
(609) 405-8372

Taxonomy

Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary

Other

Enumeration date
12/13/2006
Last updated
07/08/2007
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