BLAKE EDWARD LEEBRICK

CHESAPEAKE, VA
NPI1275307118
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy246ZC0007X Specialist/Technologist, Other, Surgical Assistant
(Licence: VA  0136000457)
Enumeration Date2023-11-10
Last Update Date2023-11-13
Business Address
BLAKE EDWARD LEEBRICK LSA
736 BATTLEFIELD BLVD N
CHESAPEAKE, VA 23320-4941
Phone number: 757-312-6151
Mailing Address
BLAKE EDWARD LEEBRICK LSA
325 BARCELONA LN
VIRGINIA BEACH, VA 23452-5415
Phone number: 757-504-6741
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