JACOB LEEDEKERKEN

CHARLOTTE, NC
NPI1003312067
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207P00000X Emergency Medicine
(Licence: NC  238485)
Enumeration Date2018-03-30
Last Update Date2018-04-03
Business Address
JACOB LEEDEKERKEN
1000 BLYTHE BLVD
CHARLOTTE, NC 28203-5812
Phone number: 704-355-3181
Mailing Address
JACOB LEEDEKERKEN
813 12TH ST NE
WASHINGTON, DC 20002-4435
Phone number: 770-598-9580
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