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1144558180
CHARLES RICHARD LEIDNER
CLEARWATER, FL
NPI
1144558180
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
174400000X Specialist
(Licence: FL OT 4918)
Enumeration Date
2009-12-03
Last Update Date
2009-12-03
Business Address
Mr. CHARLES RICHARD LEIDNER OTR
3141 N MCMULLEN BOOTH RD
CLEARWATER, FL 33761-2035
Phone number: 727-723-7735
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Mailing Address
Mr. CHARLES RICHARD LEIDNER OTR
3141 N MCMULLEN BOOTH RD
CLEARWATER, FL 33761-2035
Phone number: 727-723-7735
Copy
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