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Individual

SIRI LEECH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DC, DACBR

Contact information

Practice address
1000 BRADY ST, ADMIN 105A, DAVENPORT, IA 52803-5214
(563) 884-5305
Mailing address
1000 BRADY ST, ADMIN 105A, DAVENPORT, IA 52803-5214
(563) 884-5305

Taxonomy

Speciality
Code
Description
License number
State
111NR0200X
Radiology Chiropractor
Primary
007473
IA
111NR0200X
Radiology Chiropractor
038.012224
IL

Other

Enumeration date
04/10/2017
Last updated
04/10/2017
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