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1992016158
LEITH STATES
JACKSONVILLE, FL
NPI
1992016158
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2010-06-23
Last Update Date
2010-06-23
Business Address
-- LEITH STATES M.D.
2005 KNIGHT LANE BLDG H ATTN: MEDICAL STAFF SERVICES NAVY MEDICINE SUPPORT COMMAND
JACKSONVILLE, FL 32212-0140
Phone number: 619-532-6400
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Mailing Address
-- LEITH STATES M.D.
7665 PALMILLA DR APT 5207
SAN DIEGO, CA 92122-5032
Phone number: 626-905-5776
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