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1508138033
LESLIE MARIE MOFRAD
DEARBORN, MI
NPI
1508138033
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Former Name
LESLIE MARIE CAMPO
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: MI 4704201928)
Enumeration Date
2012-01-30
Last Update Date
2012-01-30
Business Address
Ms. LESLIE MARIE MOFRAD RN , MSN, CPNP
2331 MONROE ST
DEARBORN, MI 48124-3009
Phone number: 313-792-0345
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Mailing Address
Ms. LESLIE MARIE MOFRAD RN , MSN, CPNP
2331 MONROE ST
DEARBORN, MI 48124-3009
Phone number: 313-792-0345
Copy
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