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Individual

LESLIE HENRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
5303 BRYANT PL, SPRINGDALE, AR 72764-2586
(501) 412-6312
Mailing address
5303 BRYANT PL, SPRINGDALE, AR 72764-2586
(501) 412-6312

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
2011014367
MO

Other

Enumeration date
06/14/2011
Last updated
07/22/2014
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