LEIGHA KAYE CLARK

SESSER, IL
NPI1033484514
Former NameLEIGHA KAYE GAJEWSKI
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy124Q00000X Dental Hygienist
(Licence: IL  020011274)
Enumeration Date2012-03-15
Last Update Date2012-03-15
Business Address
-- LEIGHA KAYE CLARK RDH
6294 STATE HIGHWAY 154
SESSER, IL 62884-2163
Phone number: 618-625-6679
Mailing Address
-- LEIGHA KAYE CLARK RDH
PO BOX 155
CHRISTOPHER, IL 62822-0155
Phone number: 618-724-2436