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1033484514
LEIGHA KAYE CLARK
SESSER, IL
NPI
1033484514
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Former Name
LEIGHA KAYE GAJEWSKI
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
124Q00000X Dental Hygienist
(Licence: IL 020011274)
Enumeration Date
2012-03-15
Last Update Date
2012-03-15
Business Address
-- LEIGHA KAYE CLARK RDH
6294 STATE HIGHWAY 154
SESSER, IL 62884-2163
Phone number: 618-625-6679
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Mailing Address
-- LEIGHA KAYE CLARK RDH
PO BOX 155
CHRISTOPHER, IL 62822-0155
Phone number: 618-724-2436
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