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Individual

LESLIE CHALET

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR

Contact information

Practice address
9441 LBJ FREEWAY, SUITE 101, DALLAS, TX 75243
(972) 977-5056
Mailing address
9805 PRESTON VINEYARD DR, FRISCO, TX 75035-8068
(214) 682-8499

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
112495
TX

Other

Enumeration date
06/03/2010
Last updated
06/03/2010
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