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DR. LESLIE R CHIN OD

>> Optometrist >> Eye and Vision Services Providers

Registrant NPI Number: 1619922333

Individual Registrant:
DR. LESLIE R CHIN OD
Gender: M
Sole Proprietor

Location and contact information for practice:
126 GARLAND AVE  WEST HELENA, AR 72390-2440 US
Tel: 870-572-3408  Fax: 870-572-4130

Contact information for business:
126 GARLAND AVE  WEST HELENA, AR 72390-2440 US
Tel: 870-572-3408  Fax: 870-572-4130

Registration Information:
NPI: 1619922333
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y152W00000XEye and Vision Services Providers
Optometrist
AR2040

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
103714722AR05




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