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1760092688
KEOKI LAWRENCE GOEAS LEONG
SACRAMENTO, CA
NPI
1760092688
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
Additional Taxonomies
363AS0400X Physician Assistant, Surgical
Enumeration Date
2020-08-05
Last Update Date
2020-08-05
Business Address
KEOKI LAWRENCE GOEAS LEONG
4610 X ST
SACRAMENTO, CA 95817-2200
Phone number: 916-734-2145
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Mailing Address
KEOKI LAWRENCE GOEAS LEONG
1249 BERKSHIRE DR
PALMDALE, CA 93551-4034
Phone number: 702-285-4948
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