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1952795361
LESLIE MARDIS
MARYVILLE, TN
NPI
1952795361
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Former Name
LESLIE CRYE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TN APN0000019615)
Enumeration Date
2015-03-24
Last Update Date
2016-05-04
Business Address
-- LESLIE MARDIS
339 BMH PHYSICIANS OFFICE BLDG
MARYVILLE, TN 37804-5820
Phone number: 865-984-8279
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Mailing Address
-- LESLIE MARDIS
339 BMH PHYSICIANS OFFICE BLDG
MARYVILLE, TN 37804-5820
Phone number: 865-984-8279
Copy
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