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1316406218
LESLIE MARICE DE LOS SANTOS
COLLEGE STATION, TX
NPI
1316406218
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Former Name
LESLIE MARICE CLARK
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: TX T4333)
Enumeration Date
2019-03-19
Last Update Date
2023-06-15
Business Address
LESLIE MARICE DE LOS SANTOS DO
1602 ROCK PRAIRIE RD STE 300
COLLEGE STATION, TX 77845-8309
Phone number: 979-693-7400
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Mailing Address
LESLIE MARICE DE LOS SANTOS DO
1500 UNIVERSITY DR E STE 100
COLLEGE STATION, TX 77840-2600
Phone number: 979-383-2358
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