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1598085011
LEOTA LIFESTAR LLC
FREDERICK, MD
NPI
1598085011
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Entity Type
Organization
Authorized Contact
SANDRA E MARLEY
Vice President
240-405-6865
Organization Subpart ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2010-06-07
Last Update Date
2010-06-07
Business Address
LEOTA LIFESTAR LLC
75 THOMAS JOHNSON DR SUITE E
FREDERICK, MD 21702-4895
Phone number: 240-405-9059
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Mailing Address
LEOTA LIFESTAR LLC
75 THOMAS JOHNSON DR SUITE E
FREDERICK, MD 21702-4895
Phone number: 240-405-9059
Copy
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