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Individual

LESLIE A PRICE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
7775 ANGLING RD, PORTAGE, MI 49024-7427
(269) 321-7120
(269) 321-7154
Mailing address
5943 STADIUM DR, STE 1, KALAMAZOO, MI 49009-3016
(269) 552-2836
(269) 552-2964

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
50.002183
OH
363A00000X
Physician Assistant
Primary
5601007305
MI

Other

Enumeration date
08/05/2006
Last updated
03/15/2017
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