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1629081195
LESLIE A. KONKIN
MODESTO, CA
NPI
1629081195
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207X00000X Orthopaedic Surgery
(Licence: CA G24534)
Enumeration Date
2006-08-14
Last Update Date
2020-04-05
Business Address
LESLIE A. KONKIN M.D.
1501 OAKDALE RD STE 301
MODESTO, CA 95355-3382
Phone number: 209-571-5071
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Mailing Address
LESLIE A. KONKIN M.D.
PO BOX 576158
MODESTO, CA 95357-6158
Phone number: 209-605-6469
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