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Individual

DR. LESLIE RUPARD DEBRODER

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1601 BRENNER AVE, SALISBURY, NC 28144-2515
(704) 638-9000
(704) 638-3456
Mailing address
4425 PEBBLE LAKE DR, PFAFFTOWN, NC 27040-9240
(336) 924-5955

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
9401324
NC

Other

Enumeration date
04/13/2006
Last updated
07/08/2007
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