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Individual

MRS. KATHLEEN RAE LEAVY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN, AP

Contact information

Practice address
804 NW 16TH AVE, SUITE A, GAINESVILLE, FL 32601-4012
(352) 379-6171
Mailing address
3327 SE 30TH PL, GAINESVILLE, FL 32641-9364
(352) 375-0987

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AP0000407
FL

Other

Enumeration date
12/01/2006
Last updated
07/08/2007
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