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1811211642
LEASA C NOVOTNY
GOLDSBORO, NC
NPI
1811211642
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1710I1003X Military Health Care Provider Independent Duty Medical Technicians
Enumeration Date
2010-03-23
Last Update Date
2010-03-23
Business Address
LEASA C NOVOTNY IDMT
271 SHERIDAN FOREST RD APT 1200
GOLDSBORO, NC 27534-7155
Phone number: 785-213-4505
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Mailing Address
LEASA C NOVOTNY IDMT
321 S 8TH ST
SALINA, KS 67401-3915
Phone number:
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