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Individual

ALICE EMILIE LECLERCQ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
7707 AUSTIN RD, STOCKTON, CA 95215-8312
(209) 467-2500
Mailing address
1003 LEAF AVE APT 220, STOCKTON, CA 95207-1836

Taxonomy

Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
CA

Other

Enumeration date
06/01/2022
Last updated
07/27/2025
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