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1538251574
LESLIE B VIDAL
VAIL, CO
NPI
1538251574
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207XX0005X Orthopaedic Surgery Sports Medicine
(Licence: CO 43543)
Enumeration Date
2006-09-28
Last Update Date
2020-03-13
Business Address
LESLIE B VIDAL MD
181 W MEADOW DR STE 400
VAIL, CO 81657-5058
Phone number: 970-476-1100
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Mailing Address
LESLIE B VIDAL MD
PO BOX 660706
DALLAS, TX 75266-0706
Phone number: 970-476-1100
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