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Individual

MR. JAMES M HINKLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
221T
WY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0762340001
CIGNA MEDICARE
WY
05
110184600
WY
Enumeration date
08/18/2005
Last updated
04/10/2014
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