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1700184181
LEANN DEXTRADEUR
VIRGINIA BEACH, VA
NPI
1700184181
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: VA 0131000585)
Enumeration Date
2011-03-08
Last Update Date
2011-03-08
Business Address
-- LEANN DEXTRADEUR
6401 AUBURN DR
VIRGINIA BEACH, VA 23464-3601
Phone number: 757-420-2512
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Mailing Address
-- LEANN DEXTRADEUR
6181 POCAHONTAS CLUB RD
VIRGINIA BEACH, VA 23457-1242
Phone number: 757-721-5496
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