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Individual

DR. JESSIE L LEYSE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
130 FISHER RD, BERLIN, VT 05602-9516
(802) 371-4100
Mailing address
130 FISHER RD, BERLIN, VT 05602-9516
(802) 371-4100

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
042.0013725
VT
208000000X
Pediatrics Physician
042.0013725
VT
208000000X
Pediatrics Physician
16673
NH
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
04/13/2010
Last updated
07/21/2022
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