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1821461682
LESLIE PROM
NORFOLK, VA
NPI
1821461682
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: VA 2305204676)
Enumeration Date
2015-11-02
Last Update Date
2015-11-02
Business Address
-- LESLIE PROM DPT
1015 W 47TH ST
NORFOLK, VA 23529-0001
Phone number: 757-683-7041
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Mailing Address
-- LESLIE PROM DPT
1015 W 47TH ST
NORFOLK, VA 23529-0001
Phone number:
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