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Individual

MS. AMBER NICOLE LEACH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
53 GRANITE ST, MANSFIELD, OH 44902-7859
(419) 961-1656
Mailing address
53 GRANITE ST, MANSFIELD, OH 44902-7859
(419) 961-1656

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN343303
OH

Other

Enumeration date
04/09/2009
Last updated
04/09/2009
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