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1740800499
KENNETH LEONG
DETROIT, MI
NPI
1740800499
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2020-04-23
Last Update Date
2020-04-23
Business Address
KENNETH LEONG MD
4201 SAINT ANTOINE ST # 9C
DETROIT, MI 48201-2153
Phone number: 313-745-6047
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Mailing Address
KENNETH LEONG MD
15411 SE 4TH ST
BELLEVUE, WA 98007-5315
Phone number: 206-992-7215
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