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Individual

MS. ASHLIE LEISHMAN I

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
523 S 500 E APT 5, RIVER HEIGHTS, UT 84321-5529
(435) 760-1367
Mailing address
523 S 500 E APT 5, RIVER HEIGHTS, UT 84321-5529
(435) 760-1367

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
196605349
UT

Other

Enumeration date
09/10/2016
Last updated
09/10/2016
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