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1205822053
LESLEY TODD
CENTREVILLE, MD
NPI
1205822053
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Primary Taxonomy
363LP0808X Nurse Practitioner Psychiatric/Mental Health
(Licence: MD R064855)
Enumeration Date
2005-09-26
Last Update Date
2007-07-08
Business Address
LESLEY TODD CRNP
120 BANJO LN
CENTREVILLE, MD 21617-1002
Phone number: 410-758-1787
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Mailing Address
LESLEY TODD CRNP
29466 PINTAIL DR SUITE 9
EASTON, MD 21601-9323
Phone number: 410-770-5140
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