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1881471001
LESLIE RYAN HANCOCK
MARION, IL
NPI
1881471001
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Former Name
LESLIE RYAN BLACKLEY
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: IL 146016389)
Enumeration Date
2023-09-11
Last Update Date
2023-09-11
Business Address
LESLIE RYAN HANCOCK
442 COMFORT DR
MARION, IL 62959-4927
Phone number: 618-364-0482
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Mailing Address
LESLIE RYAN HANCOCK
1604 GRAND AVE
JOHNSTON CITY, IL 62951-1950
Phone number: 618-521-3728
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