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1740285915
MELISSA O LEAKE
JOHNSON CITY, TN
NPI
1740285915
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TN 6483)
Enumeration Date
2005-06-15
Last Update Date
2020-04-28
Business Address
MELISSA O LEAKE FNP
301 MED TECH PKWY SUITE 240
JOHNSON CITY, TN 37604-2364
Phone number: 423-794-5520
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Mailing Address
MELISSA O LEAKE FNP
215 E SPRINGBROOK DR
JOHNSON CITY, TN 37601-1761
Phone number: 423-794-5520
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