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Individual

JIMMY WAYNE LEONARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
208 MCMILLAN RD, WEST MONROE, LA 71291
(318) 387-5195
(318) 387-5220
Mailing address
208 MCMILLAN RD, WEST MONROE, LA 71291
(318) 387-5195
(318) 387-5220

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2731
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2731
DENTAL
LA
Enumeration date
03/26/2007
Last updated
07/08/2007
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