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Individual

MS. INGRID ANN LEONARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3380 N WINDSONG DR, PRESCOTT VALLEY, AZ 86314-2262
(928) 775-0045
Mailing address
971 N FAIRWAY DR, DEWEY, AZ 86327-5825
(615) 598-3069

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP026800
AZ

Other

Enumeration date
09/08/2011
Last updated
09/08/2011
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