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1861461378
CHARLES LECKIE
TUPELO, MS
NPI
1861461378
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: MS 16467)
Enumeration Date
2006-03-16
Last Update Date
2012-09-06
Business Address
-- CHARLES LECKIE D.O.
903 MISSISSIPPI DR
TUPELO, MS 38804-0928
Phone number: 662-377-4652
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Mailing Address
-- CHARLES LECKIE D.O.
450 E PRESIDENT AVE
TUPELO, MS 38801-5599
Phone number: 662-377-4685
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