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Individual

DR. THOMAS JAMES LEESEBERG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
102 1ST ST. S.W., SUITE 1, HILLSBORO, ND 58045-0309
(701) 636-2251
(701) 636-2015
Mailing address
P.O. BOX 309, HILLSBORO, ND 58045-0309
(701) 636-2251

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
1230
NE
111N00000X
Chiropractor
Primary
860
ND

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
15454
ND
Enumeration date
03/19/2007
Last updated
01/27/2011
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