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Individual

DR. KELLEY DE LEEUW

Active
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Individual

DR. KELLEY DE LEEUW

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D. M.P.H.

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
A114857
CA
2084P0800X
Psychiatry Physician
Primary
A114857
CA

Other

Enumeration date
09/02/2010
Last updated
09/08/2011
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