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1437678562
MONICA DAWN LEACH
PONCA CITY, OK
NPI
1437678562
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: OK F08170811)
Enumeration Date
2017-09-09
Last Update Date
2019-04-26
Business Address
MONICA DAWN LEACH NP-C
200 WHITE EAGLE DR
PONCA CITY, OK 74601-8315
Phone number: 580-765-2501
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Mailing Address
MONICA DAWN LEACH NP-C
737 ELM ST
PERRY, OK 73077-4217
Phone number: 405-476-4175
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