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Individual

KEOKI LAWRENCE GOEAS LEONG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
4610 X ST, SACRAMENTO, CA 95817-2200
(916) 734-2145
Mailing address
1249 BERKSHIRE DR, PALMDALE, CA 93551-4034
(702) 285-4948

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
363AS0400X
Surgical Physician Assistant

Other

Enumeration date
08/05/2020
Last updated
08/05/2020
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