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1790935906
SCOTT LOSEE LEIFSON
FORT CAMPBELL, KY
NPI
1790935906
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: UT 7645204-1204)
Enumeration Date
2008-09-24
Last Update Date
2013-08-20
Business Address
-- SCOTT LOSEE LEIFSON DO
650 JOEL DR
FORT CAMPBELL, KY 42223-5318
Phone number: 270-798-8400
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Mailing Address
-- SCOTT LOSEE LEIFSON DO
650 JOEL DR
FORT CAMPBELL, KY 42223-5318
Phone number:
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