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1417030701
LESLIE A. DIETERICH
NEWARK, OH
NPI
1417030701
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner Pediatrics
(Licence: OH COA-02929-NP)
Enumeration Date
2006-10-23
Last Update Date
2014-02-25
Business Address
LESLIE A. DIETERICH CNP
399 E MAIN ST
NEWARK, OH 43055-6516
Phone number: 740-348-1840
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Mailing Address
LESLIE A. DIETERICH CNP
399 E MAIN ST
NEWARK, OH 43055-6516
Phone number: 740-348-1840
Copy
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