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Individual

THERESA H LEITE

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
CNM

Contact information

Practice address
1220 E ELM ST, SUITE 204, LIMA, OH 45804-2850
(419) 224-2632
(419) 222-2731
Mailing address
1220 E ELM ST, SUITE 204, LIMA, OH 45804-2850
(419) 224-2632
(419) 222-2731

Taxonomy

Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
NM04988
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2492128
OH
Enumeration date
12/08/2005
Last updated
07/08/2007
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