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1215052493
JEFFERY LEE LEONARD
CLEVELAND, TN
NPI
1215052493
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
156FX1800X Technician/Technologist, Optician
(Licence: TN 958)
Enumeration Date
2007-03-20
Last Update Date
2007-07-08
Business Address
Mr. JEFFERY LEE LEONARD ldo
2733 KEITH ST.
CLEVELAND, TN 37311
Phone number: 423-472-0426
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Mailing Address
Mr. JEFFERY LEE LEONARD ldo
2127 BUCKS POCKET RD.
OLDFORT, TN 37362
Phone number: 423-479-3195
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