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Terrylynn Leissring Valid NPI

Individual provider · Case Management Agency · Inkom, ID

NPI
1932326741
Type
Individual (Type 1)
Primary specialty
Case Management Agency (Case Management)
Specialty group
Agencies
Taxonomy code
251B00000X
License number
W36708 (ID)
Sex
Female
Sole proprietor
Yes
Enumerated
2007-04-20
Last updated
2007-07-08
Practice location
2805 W Old Highway 91
Inkom, ID 83245-1601
(208) 775-3097

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