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1811679665
LEROY KETNER
WEST READING, PA
NPI
1811679665
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: PA SP028098)
Enumeration Date
2023-08-02
Last Update Date
2023-10-12
Business Address
LEROY KETNER
420 S 5TH AVE
WEST READING, PA 19611-2143
Phone number: 484-628-5455
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Mailing Address
LEROY KETNER
PO BOX 13579
READING, PA 19612-3579
Phone number: 484-628-1324
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