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1740393941
DENISE RAE LEISURE
INDIANAPOLIS, IN
NPI
1740393941
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: IN 28069081A)
Enumeration Date
2006-08-15
Last Update Date
2013-02-04
Business Address
-- DENISE RAE LEISURE RN
1481 W 10TH ST
INDIANAPOLIS, IN 46202-2803
Phone number: 317-988-2458
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Mailing Address
-- DENISE RAE LEISURE RN
1481 W 10TH ST
INDIANAPOLIS, IN 46202-2803
Phone number: 317-988-2458
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