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Individual

EDWARD HARRY LELAND

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1110 FARRADAY RD, DURANGO, CO 81303-8841
(970) 259-2580
Mailing address
1110 FARRADAY RD, DURANGO, CO 81303-8841
(970) 259-2580

Taxonomy

Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
2968
CO

Other

Enumeration date
12/31/2009
Last updated
12/31/2009
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