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Individual
MR. LESLIE JOHN KILEY-SMITH
Active
Individual
MR. LESLIE JOHN KILEY-SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
163W00000X
Registered Nurse
469122
CA
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
469122
CA
163WC1400X
College Health Registered Nurse
469122
CA
Other
Enumeration date
09/13/2016
Last updated
07/16/2018
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