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1124566195
ELLEN LEIDIG
DURHAM, NC
NPI
1124566195
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: NC 5009286)
Enumeration Date
2017-02-09
Last Update Date
2017-02-09
Business Address
ELLEN LEIDIG FNP
20 MEDICINE CIR
DURHAM, NC 27710-0001
Phone number: 330-703-6479
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Mailing Address
ELLEN LEIDIG FNP
811 CLEARVIEW LN
DURHAM, NC 27713-6521
Phone number: 330-703-6479
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