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Individual

LESLIE WALTERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
30 PINNACLE DR, SUITE 301, CLARION, PA 16214-3800
(814) 226-1820
(814) 226-1824
Mailing address
121 DOCTORS LN, CLARION, PA 16214-8515
(814) 226-3470
(814) 226-3479

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP012375
PA

Other

Enumeration date
12/11/2012
Last updated
09/25/2013
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