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Leilani Prater
NPI 1689002438 · on the registry since 2013
Practice
- Address
- 23642 Ollis Road
Olive Branch, IL 62969 - Phone
- (573) 270-2694
Registry record
- Primary taxonomy
- 224Z00000X
224Z00000X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2013-10-14
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois